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1508863531
GERALD J MINGOLELLI
HAZEL CREST, IL
NPI
1508863531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: IL 036085438)
Enumeration Date
2005-07-05
Last Update Date
2013-01-03
Business Address
-- GERALD J MINGOLELLI MD
17850 KEDZIE AVE 3200
HAZEL CREST, IL 60429-2058
Phone number: 708-798-8112
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Mailing Address
-- GERALD J MINGOLELLI MD
PO BOX 967
TINLEY PARK, IL 60477-0967
Phone number: 708-532-6029
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