JOHN NICHOLAS LARSON

CHICAGO, IL
NPI1093722860
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036075497)
Enumeration Date2006-08-02
Last Update Date2007-07-08
Business Address
-- JOHN NICHOLAS LARSON D.O.
1901 W HARRISON ST
CHICAGO, IL 60612-3714
Phone number: 312-864-3825
Mailing Address
-- JOHN NICHOLAS LARSON D.O.
633 S LAFLIN ST APT 2
CHICAGO, IL 60607-3177
Phone number:
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