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1346434776
WEST GRAND CLINIC,LTD
CHICAGO, IL
NPI
1346434776
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Entity Type
Organization
Authorized Contact
MARIA GIACCHINO
Administrator
312-636-9544
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2007-08-29
Last Update Date
2007-08-29
Business Address
WEST GRAND CLINIC,LTD
1851 W GRAND AVE
CHICAGO, IL 60622
Phone number: 312-455-2801
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Mailing Address
WEST GRAND CLINIC,LTD
1851 W GRAND AVE
CHICAGO, IL 60622
Phone number: 312-455-2801
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