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1619944931
LEWIS RUSSELL COULSON
CHICAGO, IL
NPI
1619944931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036-043298)
Enumeration Date
2006-03-06
Last Update Date
2007-07-08
Business Address
-- LEWIS RUSSELL COULSON M.D.
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-6260
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Mailing Address
-- LEWIS RUSSELL COULSON M.D.
3024 W LOGAN BLVD
CHICAGO, IL 60647-1708
Phone number: 312-569-6260
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