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1306114426
SOUTHWEST MEDICAL GROUP LTD
CHICAGO, IL
NPI
1306114426
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Entity Type
Organization
Authorized Contact
FAROOQ M AHMED
President
773-754-3728
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036118695)
Enumeration Date
2011-12-03
Last Update Date
2011-12-03
Business Address
SOUTHWEST MEDICAL GROUP LTD
4316 N ELSTON AVE
CHICAGO, IL 60641-2144
Phone number: 773-754-3728
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Mailing Address
SOUTHWEST MEDICAL GROUP LTD
4316 N ELSTON AVE
CHICAGO, IL 60641-2144
Phone number: 773-754-3728
Copy
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