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1316931157
THOMAS ANTHONY BUIVIDAS
CHICAGO, IL
NPI
1316931157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: IL 016002967)
Enumeration Date
2005-09-08
Last Update Date
2007-07-08
Business Address
Dr. THOMAS ANTHONY BUIVIDAS DPM
4554 S ARCHER AVE
CHICAGO, IL 60632-2954
Phone number: 773-847-6784
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Mailing Address
Dr. THOMAS ANTHONY BUIVIDAS DPM
4554 S ARCHER AVE
CHICAGO, IL 60632-2954
Phone number: 773-847-6784
Copy
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