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1134105232
HOMER DIADULA
BURR RIDGE, IL
NPI
1134105232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036082531)
Enumeration Date
2005-12-20
Last Update Date
2015-09-29
Business Address
-- HOMER DIADULA M.D.
157 TOMLIN CIR
BURR RIDGE, IL 60527-4886
Phone number: 773-237-3354
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Mailing Address
-- HOMER DIADULA M.D.
157 TOMLIN CIR
BURR RIDGE, IL 60527-4886
Phone number: 773-237-3354
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