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1235598954
BROWN BOULEVARD SURGICAL SUITES
BOURBONNAIS, IL
NPI
1235598954
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Entity Type
Organization
Authorized Contact
DONALD ROLAND
Owner/Physician
815-932-7242
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center, Pain
Enumeration Date
2016-02-23
Last Update Date
2016-02-23
Business Address
BROWN BOULEVARD SURGICAL SUITES
461 BROWN BLVD SUITE A
BOURBONNAIS, IL 60914-2322
Phone number: 815-932-7242
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Mailing Address
BROWN BOULEVARD SURGICAL SUITES
461 BROWN BLVD SUITE A
BOURBONNAIS, IL 60914-2322
Phone number:
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