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1336433697
MICHAEL ISAAC ELLENBOGEN
CHICAGO, IL
NPI
1336433697
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125059268)
Enumeration Date
2011-06-04
Last Update Date
2015-12-23
Business Address
Dr. MICHAEL ISAAC ELLENBOGEN M.D.
251 E HURON ST STE 16-738
CHICAGO, IL 60611-2908
Phone number: 312-926-5924
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Mailing Address
Dr. MICHAEL ISAAC ELLENBOGEN M.D.
251 E HURON ST STE 16-738
CHICAGO, IL 60611-2908
Phone number: 312-926-5924
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