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1366681025
MARQUE MEDICOS ARCHER, LLC
CHICAGO, IL
NPI
1366681025
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Entity Type
Organization
Authorized Contact
DERRICK D. WALLERY
Manager
773-283-3131
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038008088)
Enumeration Date
2009-02-19
Last Update Date
2009-02-19
Business Address
MARQUE MEDICOS ARCHER, LLC
4195 S ARCHER AVE
CHICAGO, IL 60632-1849
Phone number: 773-283-3131
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Mailing Address
MARQUE MEDICOS ARCHER, LLC
4176 W MONTROSE AVE
CHICAGO, IL 60641-2161
Phone number: 773-283-3131
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