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1548534027
ROGER TERAN
MAYWOOD, IL
NPI
1548534027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL 125.083178)
Enumeration Date
2012-03-01
Last Update Date
2024-05-10
Business Address
ROGER TERAN MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 888-584-7888
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Mailing Address
ROGER TERAN MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-3267
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