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1265597090
TERRANCE D PEABODY
BURR RIDGE, IL
NPI
1265597090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IL 036080038)
Enumeration Date
2006-12-22
Last Update Date
2007-07-08
Business Address
TERRANCE D PEABODY MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-834-4064
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Mailing Address
TERRANCE D PEABODY MD
5841 S MARYLAND AVE # MC1099
CHICAGO, IL 60637-1447
Phone number:
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