2001-15 N PARKSIDE LLC

CHICAGO, IL
NPI1518607696
Entity TypeOrganization
Authorized ContactMONA KHAN
Physician
312-955-4005
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2022-03-29
Last Update Date2022-03-29
Business Address
2001-15 N PARKSIDE LLC
405 N WABASH AVE STE P2-A
CHICAGO, IL 60611-3744
Phone number: 312-955-4005
Mailing Address
2001-15 N PARKSIDE LLC
18140 AUDETTE ST
DEARBORN, MI 48124-4217
Phone number: 312-998-5229
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