TEJUANA GROOMS

CHICAGO, IL
NPI1073753125
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.003340)
Enumeration Date2009-03-03
Last Update Date2012-03-30
Business Address
-- TEJUANA GROOMS PA-C
1901 W HARRISON ST FANTUS FAMILY PLANNING CLINIC 4TH FLOOR
CHICAGO, IL 60612-3714
Phone number: 708-945-9206
Mailing Address
-- TEJUANA GROOMS PA-C
1901 W HARRISON ST FANTUS FAMILY PLANNING CLINIC 4TH FLOOR
CHICAGO, IL 60612-3714
Phone number: 708-945-9206
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