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1598728933
CHARLES CLEVENGER
CHICAGO, IL
NPI
1598728933
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZC0500X Pathology, Cytopathology
(Licence: IL 036112763)
Enumeration Date
2006-04-07
Last Update Date
2007-07-08
Business Address
-- CHARLES CLEVENGER MD
680 N LAKE SHORE DR SUITE 1000
CHICAGO, IL 60611-4546
Phone number: 312-695-9797
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Mailing Address
-- CHARLES CLEVENGER MD
680 N LAKE SHORE DR SUITE 1000
CHICAGO, IL 60611-4546
Phone number: 312-695-9797
Copy
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