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1104200310
MENA MEGELLIE
CHICAGO, IL
NPI
1104200310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125.067887)
Enumeration Date
2015-07-17
Last Update Date
2015-07-17
Business Address
-- MENA MEGELLIE M.D.
1500 S CALIFORNIA AVE
CHICAGO, IL 60608
Phone number: 773-542-2000
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Mailing Address
-- MENA MEGELLIE M.D.
1645 E 50TH ST APT 19K
CHICAGO, IL 60615-3127
Phone number: 708-830-3745
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