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1811965635
NORTHWEST AMBUCARE
CHICAGO, IL
NPI
1811965635
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Entity Type
Organization
Authorized Contact
TEGAN AUGUSTINE THIMESCH
President
773-267-0554
Organization Subpart ?
No
Primary Taxonomy
261QP1100X Clinic/Center, Podiatric
Enumeration Date
2006-03-08
Last Update Date
2020-08-22
Business Address
NORTHWEST AMBUCARE
4040 W PETERSON AVE
CHICAGO, IL 60646-6019
Phone number: 773-267-0554
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Mailing Address
NORTHWEST AMBUCARE
4040 W PETERSON AVE
CHICAGO, IL 60646-6019
Phone number: 773-267-0554
Copy
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