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1700981693
JENNIFER LAVACCARE
PARK RIDGE, IL
NPI
1700981693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036093391)
Enumeration Date
2006-09-14
Last Update Date
2007-11-05
Business Address
-- JENNIFER LAVACCARE MD
1775 DEMPSTER ST
PARK RIDGE, IL 60068
Phone number: 847-723-2100
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Mailing Address
-- JENNIFER LAVACCARE MD
PO BOX 419
PARK RIDGE, IL 60068-0419
Phone number: 847-939-5170
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