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1588152748
AVICENNA PRIMARY CARE LLC
OAKBROOK TERRACE, IL
NPI
1588152748
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Entity Type
Organization
Authorized Contact
YASMIN KAGZI
Md
630-229-4633
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036.129037)
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
AVICENNA PRIMARY CARE LLC
1S450 SUMMIT AVE STE 390
OAKBROOK TERRACE, IL 60181-3976
Phone number: 630-229-4633
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Mailing Address
AVICENNA PRIMARY CARE LLC
233 CIMARRON RD W
LOMBARD, IL 60148-1494
Phone number: 630-229-4633
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