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1619129491
CHICAGO RETINA, INCORPORATED
CHICAGO, IL
NPI
1619129491
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Entity Type
Organization
Authorized Contact
CAROL A MENNER
President
773-394-6990
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: IL 036097549)
Enumeration Date
2008-10-11
Last Update Date
2008-10-11
Business Address
CHICAGO RETINA, INCORPORATED
1182 N MILWAUKEE AVE STOREFRONT
CHICAGO, IL 60642-4007
Phone number: 773-394-6990
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Mailing Address
CHICAGO RETINA, INCORPORATED
1182 N MILWAUKEE AVE STOREFRONT
CHICAGO, IL 60642-4007
Phone number: 773-394-6990
Copy
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