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1861928509
CHICAGO STATE UNIVERSITY
CHICAGO, IL
NPI
1861928509
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Entity Type
Organization
Authorized Contact
LISA YOUNG
Chairperson
773-995-2000
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: IL 209015881)
Enumeration Date
2017-05-01
Last Update Date
2017-05-01
Business Address
CHICAGO STATE UNIVERSITY
11228 S EMERALD AVE
CHICAGO, IL 60628-4707
Phone number: 773-821-7155
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Mailing Address
CHICAGO STATE UNIVERSITY
11228 S EMERALD AVE
CHICAGO, IL 60628-4707
Phone number: 773-821-7155
Copy
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