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1699821710
LAURIE GWEN BROUTMAN
NORTH CHICAGO, IL
NPI
1699821710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036-081979)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
-- LAURIE GWEN BROUTMAN MD
3333 GREEN BAY RD
NORTH CHICAGO, IL 60064-3037
Phone number: 847-578-8530
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Mailing Address
-- LAURIE GWEN BROUTMAN MD
1039 DEVONSHIRE CT
HIGHLAND PARK, IL 60035-3712
Phone number: 847-831-1439
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