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1386986537
KAITLIN WANTA
TINLEY PARK, IL
NPI
1386986537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: IL 036-140709)
Enumeration Date
2013-03-25
Last Update Date
2024-10-04
Business Address
KAITLIN WANTA D.O.
17495 LA GRANGE RD
TINLEY PARK, IL 60487-7581
Phone number: 630-717-2600
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Mailing Address
KAITLIN WANTA D.O.
PO BOX 713260
CHICAGO, IL 60677-1260
Phone number: 630-469-9200
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