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1073618526
BOAZ AVITALL
CHICAGO, IL
NPI
1073618526
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IL 036070549)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
-- BOAZ AVITALL
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
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Mailing Address
-- BOAZ AVITALL
809 S MARSHFIELD AVE 9TH FLOOR (MC/ 732)
CHICAGO, IL 60612-4305
Phone number: 312-996-7699
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