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1821247495
SOUTHWEST GASTROENTEROLOGY, S.C.
OAK LAWN, IL
NPI
1821247495
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Entity Type
Organization
Authorized Contact
JEFFREY PORT
President
708-499-5678
Organization Subpart ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
Enumeration Date
2008-09-18
Last Update Date
2009-01-28
Business Address
SOUTHWEST GASTROENTEROLOGY, S.C.
9921 SOUTHWEST HWY
OAK LAWN, IL 60453-3767
Phone number: 708-499-5678
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Mailing Address
SOUTHWEST GASTROENTEROLOGY, S.C.
9921 SOUTHWEST HWY
OAK LAWN, IL 60453-3767
Phone number: 708-499-5678
Copy
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