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1245542117
CLAUDIA VANDIVER
CHICAGO, IL
NPI
1245542117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125.058872)
Enumeration Date
2010-07-08
Last Update Date
2019-12-27
Business Address
Dr. CLAUDIA VANDIVER M.D.
1044 N MOZART ST STE 100
CHICAGO, IL 60622-3644
Phone number: 773-292-8300
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Mailing Address
Dr. CLAUDIA VANDIVER M.D.
2424 S PULASKI RD
CHICAGO, IL 60623-3718
Phone number: 773-257-8347
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