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1093107989
CHICAGO SPORTS MEDICINE LLC
CHICAGO, IL
NPI
1093107989
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Entity Type
Organization
Authorized Contact
ANDREW GARD
Owner
773-784-6682
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2015-03-02
Last Update Date
2015-03-02
Business Address
CHICAGO SPORTS MEDICINE LLC
1130 W GRANVILLE AVE
CHICAGO, IL 60660-2013
Phone number: 773-784-6682
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Mailing Address
CHICAGO SPORTS MEDICINE LLC
1130 W GRANVILLE AVE
CHICAGO, IL 60660-2013
Phone number: 773-784-6682
Copy
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