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1891915138
RICHARD CLARENCE STALZER
CHICAGO, IL
NPI
1891915138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL ILL 036039351)
Enumeration Date
2007-04-27
Last Update Date
2007-07-08
Business Address
-- RICHARD CLARENCE STALZER
30 WEST CHICAGO AVE SUITE 312
CHICAGO, IL 60610-4331
Phone number: 312-926-3964
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Mailing Address
-- RICHARD CLARENCE STALZER
86 WEST CANTERBURY LN
NORTHFIELD, IL 60093-3110
Phone number:
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