Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 18, 2018
License(s)
036171504 (IL), 036171504 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 420 N STATE ROUTE 31 | Crystal Lake, IL 60012-3709 | 815-356-5200 |
| MAILING | 420 N IL ROUTE 31 | Crystal Lake, IL 60012-3709 | 815-356-5200 |
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