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1134261159
DEBRA RAE CODY
CHICAGO, IL
NPI
1134261159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 36097859)
Enumeration Date
2007-02-13
Last Update Date
2019-01-18
Business Address
DEBRA RAE CODY md
259 E ERIE ST
CHICAGO, IL 60611-2987
Phone number: 312-695-6868
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Mailing Address
DEBRA RAE CODY md
680 N LAKE SHORE DR
CHICAGO, IL 60611-4546
Phone number: 312-695-6868
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