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1376871020
GRANT ADVOCATE ILLINOIS LLC
CHICAGO, IL
NPI
1376871020
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Entity Type
Organization
Authorized Contact
JERISA JOHNSON
Pres
773-816-1117
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036119674)
Enumeration Date
2009-11-18
Last Update Date
2009-11-18
Business Address
GRANT ADVOCATE ILLINOIS LLC
441 E ERIE ST SUITE 3712
CHICAGO, IL 60611-4446
Phone number: 773-816-1117
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Mailing Address
GRANT ADVOCATE ILLINOIS LLC
441 E ERIE ST SUITE 3712
CHICAGO, IL 60611-4446
Phone number: 773-816-1117
Copy
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