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CHICAGO, IL
NPI1811998438
Entity TypeOrganization
Authorized ContactMICHAEL FESSENDEN
Chief Medical Officer
615-401-4634
Organization Subpart ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
Additional Taxonomies213E00000X Podiatrist
Enumeration Date2005-08-04
Last Update Date2020-09-28
Business Address
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1340 S DAMEN AVE SUITE 210
CHICAGO, IL 60608-1169
Phone number: 773-292-4800
Mailing Address
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1340 S DAMEN AVE STE 400
CHICAGO, IL 60608-1169
Phone number: 773-292-4800