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1710145933
BIOTIDAL TECHNOLOGY, INC
CHICAGO, IL
NPI
1710145933
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Entity Type
Organization
Authorized Contact
GREGG S HORIGAN
President
773-991-5131
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: IL 038-006984)
Enumeration Date
2008-05-23
Last Update Date
2008-05-23
Business Address
BIOTIDAL TECHNOLOGY, INC
3354 N PAULINA ST SUITE 206C
CHICAGO, IL 60657-1068
Phone number: 773-991-5131
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Mailing Address
BIOTIDAL TECHNOLOGY, INC
4103 W POTOMAC AVE
CHICAGO, IL 60651-1853
Phone number: 773-486-9546
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