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1629641477
MED-PED MEDICAL CENTER SC
CHICAGO, IL
NPI
1629641477
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Entity Type
Organization
Authorized Contact
WALTER PLASENCIA
Owner
773-637-1600
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2021-07-20
Last Update Date
2021-07-20
Business Address
MED-PED MEDICAL CENTER SC
5939 W DIVERSEY AVE
CHICAGO, IL 60639-1155
Phone number: 773-637-1600
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Mailing Address
MED-PED MEDICAL CENTER SC
5939 W DIVERSEY AVE
CHICAGO, IL 60639-1155
Phone number: 773-637-1600
Copy
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