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1184354318
BRENDAN VAN ITEN
CHICAGO, IL
NPI
1184354318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 125-080030)
Enumeration Date
2022-06-11
Last Update Date
2022-06-11
Business Address
BRENDAN VAN ITEN DO
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number: 312-942-5000
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Mailing Address
BRENDAN VAN ITEN DO
1620 W HARRISON ST
CHICAGO, IL 60612-3801
Phone number:
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