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1770534026
JUAN L TELLEZ
CHICAGO, IL
NPI
1770534026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036098451)
Enumeration Date
2006-05-12
Last Update Date
2019-02-21
Business Address
JUAN L TELLEZ MD
9206 S COMMERCIAL AVE
CHICAGO, IL 60617-4508
Phone number: 773-978-0707
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Mailing Address
JUAN L TELLEZ MD
9206 S COMMERCIAL AVE
CHICAGO, IL 60617-4508
Phone number: 773-978-0707
Copy
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