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1366490047
JEFFERSON PARK MEDICAL GROUP, P.C.
CHICAGO, IL
NPI
1366490047
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Entity Type
Organization
Authorized Contact
RICHARD ANSFIELD
Director
773-774-7300
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-05-04
Last Update Date
2020-08-22
Business Address
JEFFERSON PARK MEDICAL GROUP, P.C.
5906 N MILWAUKEE AVE
CHICAGO, IL 60646-5420
Phone number: 773-774-7300
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Mailing Address
JEFFERSON PARK MEDICAL GROUP, P.C.
5906 N MILWAUKEE AVE
CHICAGO, IL 60646-5420
Phone number: 773-774-7300
Copy
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