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Organization
WINDY CITY ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization
WINDY CITY ORTHOPEDICS AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY KLAUD MILLER MD (OWNER)
(773) 743-1981
Entity
Organization
Contact information
Practice address
2617 W PETERSON AVE, CHICAGO, IL 60659-4004
(773) 743-1981
Mailing address
2617 W PETERSON AVE, CHICAGO, IL 60659-4004
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
500503486
IL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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