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1972558880
WAYNE M DETMER
CHICAGO, IL
NPI
1972558880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-099461)
Enumeration Date
2006-05-23
Last Update Date
2012-11-16
Business Address
Dr. WAYNE M DETMER M.D.
3860 W OGDEN AVE
CHICAGO, IL 60623-2460
Phone number: 872-588-3000
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Mailing Address
Dr. WAYNE M DETMER M.D.
3860 W OGDEN AVE
CHICAGO, IL 60623-2460
Phone number: 872-588-3000
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