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1366631137
CHICAGO PEDIATRIC CLINIC I
CHICAGO, IL
NPI
1366631137
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Entity Type
Organization
Authorized Contact
DARLENE EGUES
President
773-960-2555
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: IL 036103376)
Enumeration Date
2007-10-17
Last Update Date
2007-10-17
Business Address
CHICAGO PEDIATRIC CLINIC I
1916 W IRVING PARK ROAD
CHICAGO, IL 60613
Phone number: 773-477-4900
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Mailing Address
CHICAGO PEDIATRIC CLINIC I
1916 W IRVING PARK ROAD
CHICAGO, IL 60613
Phone number: 773-477-4900
Copy
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