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1255079737
XIMENA WISE
EVANSTON, IL
NPI
1255079737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IL 125080066)
Enumeration Date
2022-05-24
Last Update Date
2022-07-16
Business Address
XIMENA WISE
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201-1700
Phone number: 847-570-2019
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Mailing Address
XIMENA WISE
150 HARVESTER DR STE 300
BURR RIDGE, IL 60527-5965
Phone number: 773-702-1150
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