Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery, Sports Medicine
Enumerated
Jun 7, 2024
License(s)
125.083093 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5841 S. MARYLAND AVE RM S256 | Chicago, IL 60637 | 773-702-6254 |
| MAILING | 5841 S. MARYLAND AVE RM S256 | Chicago, IL 60637 | 773-702-6254 |
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