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1699847848
ILLINOIS LASER & VEIN CENTER, LLC
BOURBONNAIS, IL
NPI
1699847848
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Entity Type
Organization
Authorized Contact
SARAT YALAMANCHILI
President
815-937-4500
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2006-11-14
Last Update Date
2007-09-25
Business Address
ILLINOIS LASER & VEIN CENTER, LLC
1521 N CONVENT ST
BOURBONNAIS, IL 60914-1468
Phone number: 815-937-4500
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Mailing Address
ILLINOIS LASER & VEIN CENTER, LLC
1521 N CONVENT ST
BOURBONNAIS, IL 60914-1468
Phone number: 815-937-4500
Copy
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