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Organization
YIGAZU WELLNESS CLINIC S.C.
Active
Organization
YIGAZU WELLNESS CLINIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLOMON YIGAZU M.D. (OWNER)
(773) 528-5400
Entity
Organization
Contact information
Practice address
2143 W WELLINGTON AVE, SUITE 100, CHICAGO, IL 60618-8268
(773) 528-8400
Mailing address
3660 N LAKE SHORE DR, SUITE 3601, CHICAGO, IL 60613-5300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
01/28/2015
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