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1164711644
KOOSHA MEDICAL CENTER P C
CHICAGO, IL
NPI
1164711644
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Entity Type
Organization
Authorized Contact
EBRAHIM GHODSIZADEH
Owner
773-794-2100
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 0360856071)
Enumeration Date
2011-04-05
Last Update Date
2023-03-07
Business Address
KOOSHA MEDICAL CENTER P C
4438 N MILWAUKEE AVE
CHICAGO, IL 60630-3743
Phone number: 773-794-2100
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Mailing Address
KOOSHA MEDICAL CENTER P C
4438 N MILWAUKEE AVE
CHICAGO, IL 60630-3743
Phone number: 773-794-2100
Copy
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