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1508063405
ADVANCED INTERNAL MEDICINE, LLC
MOUNT VERNON, IL
NPI
1508063405
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Entity Type
Organization
Authorized Contact
LOREN JAY CHASSELS
Owner
618-241-4016
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036116700)
Enumeration Date
2007-07-02
Last Update Date
2012-05-01
Business Address
ADVANCED INTERNAL MEDICINE, LLC
605 N 12TH ST HOSPITALIST OFFICE
MOUNT VERNON, IL 62864-2857
Phone number: 618-241-4016
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Mailing Address
ADVANCED INTERNAL MEDICINE, LLC
PO BOX 442
HIGHLAND, IL 62249-0442
Phone number: 618-241-4016
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