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1679571178
PRAKASH SANE
HAZEL CREST, IL
NPI
1679571178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036-047348)
Enumeration Date
2005-07-08
Last Update Date
2008-09-17
Business Address
-- PRAKASH SANE MD
17680 KEDZIE AVE 201
HAZEL CREST, IL 60429-2043
Phone number: 708-799-2499
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Mailing Address
-- PRAKASH SANE MD
PO BOX 967
TINLEY PARK, IL 60477-0967
Phone number:
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