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1124681739
AISHA LANE
BRIDGEVIEW, IL
NPI
1124681739
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Entity Type
Organization
Authorized Contact
PAMELA CLAY
Billing Manager
888-265-9908
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2019-04-18
Last Update Date
2019-06-06
Business Address
AISHA LANE
7900 W 75TH ST
BRIDGEVIEW, IL 60455-1237
Phone number: 708-612-3956
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Mailing Address
AISHA LANE
6801 W 73RD ST UNIT 922
BEDFORD PARK, IL 60499-5332
Phone number: 708-612-3956
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