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1265118723
IAS ILLINOIS PC
GENEVA, IL
NPI
1265118723
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Entity Type
Organization
Authorized Contact
JESSE BREEDLOVE
President
850-624-6138
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2023-06-27
Last Update Date
2023-07-11
Business Address
IAS ILLINOIS PC
2525 KANEVILLE RD
GENEVA, IL 60134-2578
Phone number: 630-584-1400
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Mailing Address
IAS ILLINOIS PC
PO BOX 661495
BIRMINGHAM, AL 35266-1495
Phone number: 205-979-5882
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