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1225349350
SUMANAS WANANT JORDAN
CHICAGO, IL
NPI
1225349350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208200000X Plastic Surgery
(Licence: IL 036140399)
Enumeration Date
2010-06-23
Last Update Date
2018-10-27
Business Address
Dr. SUMANAS WANANT JORDAN M.D.
675 N SAINT CLAIR ST STE 19-250
CHICAGO, IL 60611-5964
Phone number: 312-695-6022
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Mailing Address
Dr. SUMANAS WANANT JORDAN M.D.
675 N SAINT CLAIR ST STE 19-250
CHICAGO, IL 60611-5964
Phone number: 312-695-6022
Copy
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