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1447559000
LOGAN SQUARE MEDICAL INSTITUTE SC
CHICAGO, IL
NPI
1447559000
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Entity Type
Organization
Authorized Contact
GONZALO RUIZ
Physician
773-772-7899
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2011-03-22
Last Update Date
2015-02-09
Business Address
LOGAN SQUARE MEDICAL INSTITUTE SC
3061 W. LOGAN BLVD
CHICAGO, IL 60647-1707
Phone number: 773-772-7899
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Mailing Address
LOGAN SQUARE MEDICAL INSTITUTE SC
3061 W. LOGAN BLVD
CHICAGO, IL 60647
Phone number: 773-772-7899
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