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1134223621
JOHN B. NANNINGA
CHICAGO, IL
NPI
1134223621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: IL 036-039408)
Enumeration Date
2006-09-12
Last Update Date
2007-07-08
Business Address
Dr. JOHN B. NANNINGA MD
675 N SAINT CLAIR ST SUITE 20-200
CHICAGO, IL 60611-5975
Phone number: 312-926-4666
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Mailing Address
Dr. JOHN B. NANNINGA MD
675 N SAINT CLAIR ST GALTER 20-200
CHICAGO, IL 60611-5975
Phone number: 312-926-4666
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