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1184624553
EDWIN VEGUILLA
JOLIET, IL
NPI
1184624553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036084919)
Enumeration Date
2005-07-28
Last Update Date
2007-07-08
Business Address
-- EDWIN VEGUILLA MD
333 MADISON ST
JOLIET, IL 60435-8200
Phone number: 815-725-7133
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Mailing Address
-- EDWIN VEGUILLA MD
PO BOX 2669
JOLIET, IL 60434-2669
Phone number: 815-726-6860
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