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1932815123
GOLD COAST BARIATRICS LLC
CHICAGO, IL
NPI
1932815123
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Entity Type
Organization
Authorized Contact
CHANDRA HASSAN
Owner
646-234-8943
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2023-01-30
Last Update Date
2023-04-08
Business Address
GOLD COAST BARIATRICS LLC
2540 W CHICAGO AVE APT 1
CHICAGO, IL 60622-8365
Phone number: 646-234-8943
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Mailing Address
GOLD COAST BARIATRICS LLC
456 E NORTH WATER ST UNIT G
CHICAGO, IL 60611-5510
Phone number: 646-234-8943
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