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1265052302
MARIA POONAWALLA
CHICAGO, IL
NPI
1265052302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125075511)
Enumeration Date
2020-04-18
Last Update Date
2020-04-18
Business Address
Dr. MARIA POONAWALLA MD
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 773-702-6840
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Mailing Address
Dr. MARIA POONAWALLA MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150
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