Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 4, 2022
License(s)
125.080386 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 600 S PAULINA ST STE 403 | Chicago, IL 60612-3806 | 312-942-0312 |
| MAILING | 1718 E JEFFERSON BLVD | South Bend, IN 46617-3445 | 407-562-8697 |
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