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1619943586
MICHAEL LAVINE
GLEN ELLYN, IL
NPI
1619943586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036063940)
Enumeration Date
2006-02-28
Last Update Date
2019-10-02
Business Address
MICHAEL LAVINE MD
430 PENNSYLVANIA AVE
GLEN ELLYN, IL 60137-4464
Phone number: 630-469-9200
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Mailing Address
MICHAEL LAVINE MD
1860 PAYSPHERE CIR
CHICAGO, IL 60674-0018
Phone number: 630-469-9200
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