Registry details
Type
Organization
Primary specialty
General Practice
Enumerated
May 21, 2012
License(s)
038011342 (IL), 198001014 (IL), 085003927 (IL), 041204674 (IL), 036112926 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 400 N LASALLE DR #4002 | Chicago, IL 60654 | 847-910-2567 |
| LOCATION | 400 N LASALLE DR #4002 | Chicago, IL 60654 | 847-910-2567 |
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