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1417210931
MIA ELISE LAYNE
CHICAGO, IL
NPI
1417210931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 036140767)
Enumeration Date
2012-06-19
Last Update Date
2022-03-23
Business Address
Dr. MIA ELISE LAYNE M.D.
2007 S STATE ST
CHICAGO, IL 60616-2173
Phone number: 773-340-2546
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Mailing Address
Dr. MIA ELISE LAYNE M.D.
2007 S STATE ST
CHICAGO, IL 60616-2173
Phone number: 773-340-2546
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