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1548271018
MING XU
BOURBONNAIS, IL
NPI
1548271018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 036101005)
Enumeration Date
2006-08-10
Last Update Date
2021-03-18
Business Address
Mr. MING XU MD
21 HERITAGE DRIVE SUITE 102
BOURBONNAIS, IL 60914
Phone number: 815-937-8204
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Mailing Address
Mr. MING XU MD
9223 W ST FRANCIS ROAD
FRANKFORT, IL 60423
Phone number: 815-806-3111
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