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1902104037
KIM M CARNAZZOLA MD SC
LIBERTYVILLE, IL
NPI
1902104037
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Entity Type
Organization
Authorized Contact
KIM M CARNAZZOLA
President
847-996-0607
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036085955)
Enumeration Date
2011-03-15
Last Update Date
2012-04-19
Business Address
KIM M CARNAZZOLA MD SC
1860 W WINCHESTER RD SUITE 109
LIBERTYVILLE, IL 60048-5351
Phone number: 847-996-0607
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Mailing Address
KIM M CARNAZZOLA MD SC
1860 W WINCHESTER RD SUITE 109
LIBERTYVILLE, IL 60048-5351
Phone number: 847-996-0607
Copy
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