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1871119172
IRINA KOMISSAROVA
CHICAGO, IL
NPI
1871119172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125075418)
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
IRINA KOMISSAROVA
916 S OAKLEY BLVD
CHICAGO, IL 60612-4230
Phone number: 312-978-2039
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Mailing Address
IRINA KOMISSAROVA
916 S OAKLEY BLVD
CHICAGO, IL 60612-4230
Phone number: 312-978-2039
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