Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 19, 2024
License(s)
125084268 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1611 W HARRISON ST STE 201 | Chicago, IL 60612-4861 | |
| LOCATION | 1611 W HARRISON ST STE 201 | Chicago, IL 60612-4861 | 312-243-4244 |
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