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1336116771
CHANACHAI MEMARK
GLEN ELLYN, IL
NPI
1336116771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: IL 036046760)
Enumeration Date
2006-03-03
Last Update Date
2011-01-27
Business Address
-- CHANACHAI MEMARK MD
430 PENNSYLVANIA AVE
GLEN ELLYN, IL 60137-4464
Phone number: 630-469-9200
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Mailing Address
-- CHANACHAI MEMARK MD
1860 PAYSPHERE CIR
CHICAGO, IL 60674-0018
Phone number: 630-469-9200
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