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1366787012
SMG SOUTH STATE HEALTH CENTER
CHICAGO, IL
NPI
1366787012
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Entity Type
Organization
Authorized Contact
DAVID BERKEY
Vice President Physician Services
773-257-2664
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2012-12-06
Last Update Date
2012-12-06
Business Address
SMG SOUTH STATE HEALTH CENTER
5050 S STATE ST
CHICAGO, IL 60609-5302
Phone number: 773-257-1110
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Mailing Address
SMG SOUTH STATE HEALTH CENTER
5050 S STATE ST
CHICAGO, IL 60609-5302
Phone number: 773-257-1110
Copy
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