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1497529218
SHANE GERALD MCTAGUE
CHICAGO, IL
NPI
1497529218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038.014073)
Enumeration Date
2023-11-13
Last Update Date
2023-11-13
Business Address
SHANE GERALD MCTAGUE DC
4555 N LINCOLN AVE
CHICAGO, IL 60625-2102
Phone number: 815-217-4964
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Mailing Address
SHANE GERALD MCTAGUE DC
4555 N LINCOLN AVE
CHICAGO, IL 60625-2102
Phone number:
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