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1285702357
BORIS KUSNETZOW
CHICAGO, IL
NPI
1285702357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036071405)
Enumeration Date
2006-11-30
Last Update Date
2007-07-08
Business Address
BORIS KUSNETZOW M.D.
6642 S ASHLAND AVE
CHICAGO, IL 60636-3022
Phone number: 773-776-3500
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Mailing Address
BORIS KUSNETZOW M.D.
6642 S ASHLAND AVE
CHICAGO, IL 60636-3022
Phone number: 773-776-3500
Copy
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