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1821204082
SUBURBAN OTOLARYNGOLOGY,S.C.
BERWYN, IL
NPI
1821204082
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Entity Type
Organization
Authorized Contact
LARRY L BAILEY
President
708-749-3070
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: IL 0040148033)
Enumeration Date
2007-05-15
Last Update Date
2007-12-13
Business Address
SUBURBAN OTOLARYNGOLOGY,S.C.
3340 OAK PARK AVE
BERWYN, IL 60402-3420
Phone number: 708-749-3070
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Mailing Address
SUBURBAN OTOLARYNGOLOGY,S.C.
3340 OAK PARK AVE
BERWYN, IL 60402-3420
Phone number: 708-749-3070
Copy
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