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Organization
MARY KANASHIRO MD SC INC
Active
Organization
MARY KANASHIRO MD SC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KANASHIRO MD (OWNER/ PROVIDER)
(708) 687-4620
Entity
Organization
Contact information
Practice address
6360 159TH ST, OAK FOREST, IL 60452-2725
(708) 687-4620
(708) 687-4625
Mailing address
6360 159TH ST, OAK FOREST, IL 60452-2725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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