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1619310703
CHARLES GOOLSBY
CHICAGO, IL
NPI
1619310703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
Enumeration Date
2013-04-09
Last Update Date
2013-04-09
Business Address
CHARLES GOOLSBY PHD
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: 312-926-6948
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Mailing Address
CHARLES GOOLSBY PHD
27W251 VIRGINIA ST
WINFIELD, IL 60190-1801
Phone number:
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