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1124330055
DONALD BENJAMIN LASSUS
CHICAGO, IL
NPI
1124330055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036135721)
Enumeration Date
2010-07-08
Last Update Date
2021-08-10
Business Address
Dr. DONALD BENJAMIN LASSUS MD
4747 N. KEDZIE AVENUE
CHICAGO, IL 60625
Phone number: 312-666-3494
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Mailing Address
Dr. DONALD BENJAMIN LASSUS MD
1701 W. SUPERIOR 3RD FLOOR
CHICAGO, IL 60622
Phone number: 312-666-3494
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