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1508870379
MICHAEL POURTABIB
NAPERVILLE, IL
NPI
1508870379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 036-044865)
Enumeration Date
2006-07-28
Last Update Date
2007-07-09
Business Address
Dr. MICHAEL POURTABIB M.D.
100 SPALDING DR SUITE 102
NAPERVILLE, IL 60540-6550
Phone number: 630-355-5860
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Mailing Address
Dr. MICHAEL POURTABIB M.D.
1035 SNOWDON CT
NAPERVILLE, IL 60540-8251
Phone number: 630-420-1820
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