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1275846362
REJUVENESSE
CRYSTAL LAKE, IL
NPI
1275846362
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Entity Type
Organization
Authorized Contact
SYED WASEEM HAIDER
M.D.
815-788-1992
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036100063)
Enumeration Date
2010-07-19
Last Update Date
2010-07-19
Business Address
REJUVENESSE
5911 NORTHWEST HWY SUITE 101
CRYSTAL LAKE, IL 60014-8065
Phone number: 815-788-1992
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Mailing Address
REJUVENESSE
5911 NORTHWEST HWY SUITE 108
CRYSTAL LAKE, IL 60014-8065
Phone number: 815-788-1992
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