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1447789789
JONATHAN MEDERNACH
CHICAGO, IL
NPI
1447789789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: IL 125070264)
Enumeration Date
2017-06-09
Last Update Date
2017-06-09
Business Address
Dr. JONATHAN MEDERNACH DO
1650 W HARRISON ST STE 466
CHICAGO, IL 60612-3800
Phone number: 312-942-2200
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Mailing Address
Dr. JONATHAN MEDERNACH DO
1645 W JACKSON BLVD
CHICAGO, IL 60612-3276
Phone number: 312-942-2200
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