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1831231166
MIDLAKE MEDICAL CORPORATION
CHICAGO, IL
NPI
1831231166
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Entity Type
Organization
Authorized Contact
REUBEN TERRANCE NICHOLS
President
312-808-1600
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-02-13
Last Update Date
2020-08-22
Business Address
MIDLAKE MEDICAL CORPORATION
2930 SOUTH MICHIGAN AVENUE SUITE 101
CHICAGO, IL 60616-3484
Phone number: 312-808-1600
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Mailing Address
MIDLAKE MEDICAL CORPORATION
2930 SOUTH MICHIGAN AVENUE SUITE 101
CHICAGO, IL 60616-3484
Phone number: 312-808-1600
Copy
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