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1598016503
ASG ONSITE PODIATRY OF IA 1 PC
CHICAGO, IL
NPI
1598016503
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Entity Type
Organization
Authorized Contact
YEV GRAY
President/CEO
773-770-0140
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
Enumeration Date
2012-10-01
Last Update Date
2012-10-01
Business Address
ASG ONSITE PODIATRY OF IA 1 PC
10 S RIVERSIDE PLZ STE 19 EAST
CHICAGO, IL 60606-3728
Phone number: 773-770-0140
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Mailing Address
ASG ONSITE PODIATRY OF IA 1 PC
10 S RIVERSIDE PLZ STE 19 EAST
CHICAGO, IL 60606-3728
Phone number: 773-770-0140
Copy
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