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1407284177
BENCHUAN GONG
CHICAGO, IL
NPI
1407284177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: IL 198001152)
Enumeration Date
2013-10-16
Last Update Date
2013-10-16
Business Address
DR. BENCHUAN GONG M.D. (CHINA)
4921 N KIMBALL AVE
CHICAGO, IL 60625-5110
Phone number: 773-583-2142
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Mailing Address
DR. BENCHUAN GONG M.D. (CHINA)
4921 N KIMBALL AVE
CHICAGO, IL 60625-5110
Phone number: 773-583-2142
Copy
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