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1255778122
SMG AT SCI -OBGYN
CHICAGO, IL
NPI
1255778122
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Entity Type
Organization
Authorized Contact
JOHN E VAZQUEZ
Cmo
773-257-6850
Organization Subpart ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2013-05-31
Last Update Date
2013-05-31
Business Address
SMG AT SCI -OBGYN
2653 W OGDEN AVE
CHICAGO, IL 60673-1264
Phone number: 773-257-6701
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Mailing Address
SMG AT SCI -OBGYN
26460 NETWORK PL
CHICAGO, IL 60673-1264
Phone number: 708-786-2900
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