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1245753755
MAXICARE VISITING PHYSICIAN, INC
CHICAGO, IL
NPI
1245753755
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Entity Type
Organization
Authorized Contact
NELSON MERCADO
Office Manager
773-961-7580
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2017-07-18
Last Update Date
2017-07-18
Business Address
MAXICARE VISITING PHYSICIAN, INC
3300 W PETERSON AVE SUITE H
CHICAGO, IL 60659
Phone number: 773-961-7580
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Mailing Address
MAXICARE VISITING PHYSICIAN, INC
3300 W PETERSON AVE STE H
CHICAGO, IL 60659-3585
Phone number:
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