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1457570061
DR.VASANWALA LLC
BOURBONNAIS, IL
NPI
1457570061
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Entity Type
Organization
Authorized Contact
SALIL R VASANWALA
Director
815-936-9440
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-04-24
Last Update Date
2009-12-08
Business Address
DR.VASANWALA LLC
19 HERITAGE DR STE104
BOURBONNAIS, IL 60914-1369
Phone number: 815-936-9440
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Mailing Address
DR.VASANWALA LLC
19 HERITAGE DR STE104
BOURBONNAIS, IL 60914-1369
Phone number: 815-936-9440
Copy
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