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1902074321
MARQUE MEDICOS FARNSWORTH, LLC
AURORA, IL
NPI
1902074321
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Entity Type
Organization
Authorized Contact
DERRICK D. WALLERY
Manager
773-283-3131
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2008-02-19
Last Update Date
2008-02-19
Business Address
MARQUE MEDICOS FARNSWORTH, LLC
1281 N FARNSWORTH AVE
AURORA, IL 60505-2445
Phone number: 773-283-3131
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Mailing Address
MARQUE MEDICOS FARNSWORTH, LLC
4176 W MONTROSE AVE
CHICAGO, IL 60641-2161
Phone number: 773-283-3131
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