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1457658841
GRAND MEDICAL CLINIC, INC
CHICAGO, IL
NPI
1457658841
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Entity Type
Organization
Authorized Contact
OMAR GARCIA
Owner
312-733-9858
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IL 036124389)
Enumeration Date
2011-02-21
Last Update Date
2011-02-21
Business Address
GRAND MEDICAL CLINIC, INC
2158 W GRAND AVE SUITE 101
CHICAGO, IL 60612-1571
Phone number: 312-733-9858
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Mailing Address
GRAND MEDICAL CLINIC, INC
2158 W GRAND AVE SUITE 101
CHICAGO, IL 60612-1571
Phone number: 312-733-9858
Copy
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