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1982745519
GATHERING VALLEY CENTER
SKOKIE, IL
NPI
1982745519
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Entity Type
Organization
Authorized Contact
GEORGIY LIFSHITS
President
847-568-0849
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: IL 198-000104)
Enumeration Date
2007-02-08
Last Update Date
2008-06-26
Business Address
GATHERING VALLEY CENTER
8019 LINCOLN AVE
SKOKIE, IL 60077-3611
Phone number: 847-568-0849
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Mailing Address
GATHERING VALLEY CENTER
8019 LINCOLN AVE
SKOKIE, IL 60077-3611
Phone number: 847-568-0849
Copy
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