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1528204088
MARQUE MEDICOS 26TH STREET, LLC.
CHICAGO, IL
NPI
1528204088
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Entity Type
Organization
Authorized Contact
DERRICK D. WALLERY
Manager
773-283-3131
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038008088)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
MARQUE MEDICOS 26TH STREET, LLC.
3501 W 26TH ST
CHICAGO, IL 60623-3910
Phone number: 773-283-3131
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Mailing Address
MARQUE MEDICOS 26TH STREET, LLC.
4176 W MONTROSE AVE
CHICAGO, IL 60641-2161
Phone number: 773-283-3131
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