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1205075942
THE MEDADDRESS, S.C.
LIBERTYVILLE, IL
NPI
1205075942
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Entity Type
Organization
Authorized Contact
NINA S MANIQUIS
President
847-522-7505
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2009-02-18
Last Update Date
2011-11-02
Business Address
THE MEDADDRESS, S.C.
303 E PARK AVE SUITE 103
LIBERTYVILLE, IL 60048-2872
Phone number: 847-522-7505
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Mailing Address
THE MEDADDRESS, S.C.
303 E PARK AVE SUITE 103
LIBERTYVILLE, IL 60048-2872
Phone number: 847-522-7505
Copy
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