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1053684852
STREETERVILLE INTERNAL MEDICINE 2LLC
ATLANTA, GA
NPI
1053684852
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Entity Type
Organization
Authorized Contact
ALICIA HOLDEN
Billing Manager
404-943-0205
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2012-02-10
Last Update Date
2012-02-10
Business Address
STREETERVILLE INTERNAL MEDICINE 2LLC
5909 PEACHTREE DUNWOODY RD NE SUITE 900
ATLANTA, GA 30328-5388
Phone number: 404-943-0205
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Mailing Address
STREETERVILLE INTERNAL MEDICINE 2LLC
676 N SAINT CLAIR ST SUITE 1740
CHICAGO, IL 60611-2927
Phone number: 312-926-0444
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