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1891984068
PARK PRIMARY CARE LTD
EVERGREEN PARK, IL
NPI
1891984068
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Entity Type
Organization
Authorized Contact
THOMAS JOSEPH
Owner
708-423-8150
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2007-10-23
Last Update Date
2009-03-16
Business Address
PARK PRIMARY CARE LTD
9760 S KEDZIE AVE SUITE 2
EVERGREEN PARK, IL 60805-3109
Phone number: 708-423-8150
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Mailing Address
PARK PRIMARY CARE LTD
9760 S KEDZIE AVE SUITE 2
EVERGREEN PARK, IL 60805-3109
Phone number: 708-423-8150
Copy
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