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1588041008
TRI COUNTY MEDICAL LLC
KENOSHA, WI
NPI
1588041008
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Entity Type
Organization
Authorized Contact
JAY H KHAN
Owner
262-697-3668
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2015-05-05
Last Update Date
2015-05-05
Business Address
TRI COUNTY MEDICAL LLC
7611 PERSHING BLVD
KENOSHA, WI 53142-4317
Phone number: 262-697-3668
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Mailing Address
TRI COUNTY MEDICAL LLC
4310 W CRYSTAL LAKE RD SUITE F
MCHENRY, IL 60050-4214
Phone number: 262-697-3668
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