DR O MD LLC

CHICAGO, IL
NPI1649803719
Entity TypeOrganization
Authorized ContactOMAR L DOMINIQUE
President
480-770-3967
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2020-02-18
Last Update Date2020-06-25
Business Address
DR O MD LLC
7828 S HOYNE AVE
CHICAGO, IL 60620-5741
Phone number: 480-770-3967
Mailing Address
DR O MD LLC
7828 S HOYNE AVE
CHICAGO, IL 60620-5741
Phone number: 480-770-3967
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