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1740039908
DONALD E ELMORE
CHICAGO, IL
NPI
1740039908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.01331)
Enumeration Date
2024-05-17
Last Update Date
2024-08-29
Business Address
DONALD E ELMORE
1969 W OGDEN AVE
CHICAGO, IL 60612-3765
Phone number: 312-864-6000
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Mailing Address
DONALD E ELMORE
211 NORTH TRL
HAWTHORN WOODS, IL 60047-7718
Phone number: 224-623-4646
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