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1306676234
BLUE LINE MEDICAL INC
CHICAGO, IL
NPI
1306676234
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Entity Type
Organization
Authorized Contact
LOUIS MARK LUNA
Owner
773-619-3611
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
BLUE LINE MEDICAL INC
5440 N CUMBERLAND AVE
CHICAGO, IL 60656-1490
Phone number: 773-619-3611
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Mailing Address
BLUE LINE MEDICAL INC
5440 N CUMBERLAND AVE
CHICAGO, IL 60656-1490
Phone number: 773-619-3611
Copy
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