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1902426026
DYLAN DOUGLAS
CHICAGO, IL
NPI
1902426026
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125.075528)
Enumeration Date
2020-04-18
Last Update Date
2020-04-18
Business Address
Dr. DYLAN DOUGLAS MD
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 773-702-1000
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Mailing Address
Dr. DYLAN DOUGLAS MD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150
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