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1518261304
MIDWEST ANTI-AGING
CHICAGO, IL
NPI
1518261304
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Entity Type
Organization
Authorized Contact
NANCY SHEMING
Medical Assistant
815-464-7212
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2011-01-07
Last Update Date
2011-01-07
Business Address
MIDWEST ANTI-AGING
845 N MICHIGAN AVE SUITE 930 E
CHICAGO, IL 60611-2252
Phone number: 312-927-2491
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Mailing Address
MIDWEST ANTI-AGING
10181 W LINCOLN HWY
FRANKFORT, IL 60423-1274
Phone number: 815-464-7212
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