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1861734683
DEREK SEAN BUMGARNER
MAYWOOD, IL
NPI
1861734683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: IL 036.138853)
Enumeration Date
2013-03-19
Last Update Date
2015-08-07
Business Address
DR. DEREK SEAN BUMGARNER M.D.
2160 S 1ST AVE DEPARTMENT OF PATHOLOGY BUILDING 110 ROOM 2209
MAYWOOD, IL 60153-3328
Phone number: 708-216-3250
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Mailing Address
DR. DEREK SEAN BUMGARNER M.D.
2160 S 1ST AVE DEPARTMENT OF PATHOLOGY BUILDING 110 ROOM 2209
MAYWOOD, IL 60153-3328
Phone number: 708-216-3250
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