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1881026516
JORGE ALBERTO BENAVIDES VASQUEZ
CHICAGO, IL
NPI
1881026516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125.063560)
Enumeration Date
2013-08-05
Last Update Date
2013-08-05
Business Address
Dr. JORGE ALBERTO BENAVIDES VASQUEZ M.D.
4646 N MARINE DR
CHICAGO, IL 60640-5759
Phone number: 773-878-8700
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Mailing Address
Dr. JORGE ALBERTO BENAVIDES VASQUEZ M.D.
4541 N SHERIDAN RD APT 505
CHICAGO, IL 60640-5651
Phone number: 215-410-1409
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