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Organization
GILES B. MIZOCK M.D. LTD.
Active
Organization
GILES B. MIZOCK M.D. LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILES B. MIZOCK M.D. (PRESIDENT)
(847) 509-0547
Entity
Organization
Contact information
Practice address
5025 W. PAULINA, METHODIST HOSP, CHICAGO, IL 60609
(773) 271-9040
Mailing address
2587 FAIRFORD LANE, NORTHBROOK, IL 60062
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-035966
IL
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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