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1477549806
VIDA R KASUBA
CHICAGO, IL
NPI
1477549806
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: PA MD047052L)
Enumeration Date
2005-09-21
Last Update Date
2021-07-13
Business Address
Dr. VIDA R KASUBA M.D.
8420 W BRYN MAWR AVE STE 300
CHICAGO, IL 60631-3436
Phone number: 708-831-8282
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Mailing Address
Dr. VIDA R KASUBA M.D.
PO BOX 443
BEDFORD PARK, IL 60499-0443
Phone number: 708-831-8282
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