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1760953749
KIZHEL GRANZON TAN
CHICAGO, IL
NPI
1760953749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IL 070021083)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
Miss KIZHEL GRANZON TAN CSRS
3919 W FOSTER AVE
CHICAGO, IL 60625-6056
Phone number: 773-588-9500
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Mailing Address
Miss KIZHEL GRANZON TAN CSRS
2629 W HOWARD ST
CHICAGO, IL 60645-1406
Phone number: 312-965-9409
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