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1851313241
ADAM BLACK
CHICAGO, IL
NPI
1851313241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036097245)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- ADAM BLACK MD
1431 N CLAREMONT AVE
CHICAGO, IL 60622-1702
Phone number: 773-278-2000
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Mailing Address
-- ADAM BLACK MD
PO BOX 5940 DEPT. 20-DIV001
CAROL STREAM, IL 60197-5940
Phone number: 630-734-0200
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