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Organization
ADOLESCENT AND YOUNG ADULT PLACE LTD
Active
Organization
ADOLESCENT AND YOUNG ADULT PLACE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGO ANTOINETTE BELL M.D. (OWNER)
(312) 859-2491
Entity
Organization
Contact information
Practice address
9 N CICERO AVE, CHICAGO, IL 60644-3602
(312) 859-2491
Mailing address
PO BOX 795, HILLSIDE, IL 60162-0795
(708) 544-6553
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
036086432
IL
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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