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1366741456
MICHIGAN AVE MEDICAL ASSOCIATES LLC
CHICAGO, IL
NPI
1366741456
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Entity Type
Organization
Authorized Contact
ROBERTO DIAZ
Sole Member
312-521-5510
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2011-03-15
Last Update Date
2011-03-15
Business Address
MICHIGAN AVE MEDICAL ASSOCIATES LLC
845 N MICHIGAN AVE STE 930E
CHICAGO, IL 60611-2213
Phone number: 312-202-0700
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Mailing Address
MICHIGAN AVE MEDICAL ASSOCIATES LLC
845 N MICHIGAN AVE STE 910W
CHICAGO, IL 60611-2252
Phone number:
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