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1194985747
MARQUE MEDICOS KEDZIE, LLC
CHICAGO, IL
NPI
1194985747
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Entity Type
Organization
Authorized Contact
DERRICK D. WALLERY
Manager
773-283-3131
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2008-06-16
Last Update Date
2008-06-16
Business Address
MARQUE MEDICOS KEDZIE, LLC
5825 S KEDZIE AVE
CHICAGO, IL 60629-3212
Phone number: 773-283-3131
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Mailing Address
MARQUE MEDICOS KEDZIE, LLC
4176 W MONTROSE AVE
CHICAGO, IL 60641-2161
Phone number: 773-283-3131
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