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1497748982
DERRALD G TAYLOR
CHICAGO, IL
NPI
1497748982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046006305)
Enumeration Date
2005-08-30
Last Update Date
2008-12-22
Business Address
-- DERRALD G TAYLOR OD
3241 S MICHIGAN AVE
CHICAGO, IL 60616-3849
Phone number: 312-225-6200
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Mailing Address
-- DERRALD G TAYLOR OD
3241 S MICHIGAN AVE
CHICAGO, IL 60616-3849
Phone number: 312-949-7259
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