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1457764177
PATRICK KEVIN ENNIS
CHICAGO, IL
NPI
1457764177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036141466)
Enumeration Date
2014-06-10
Last Update Date
2021-04-23
Business Address
Dr. PATRICK KEVIN ENNIS MD
2800 S CALIFORNIA AVE
CHICAGO, IL 60608-5107
Phone number: 773-674-7488
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Mailing Address
Dr. PATRICK KEVIN ENNIS MD
1900 W POLK ST STE 1221
CHICAGO, IL 60612-3723
Phone number: 312-864-0451
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