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Organization
AJ VISITING PHYSICIANS SERVICE CORPORATION
Active
Organization
AJ VISITING PHYSICIANS SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA R JOAQUIN M.D. (PRESIDENT)
(312) 670-0819
Entity
Organization
Contact information
Practice address
300 N STATE ST, SUITE 4124, CHICAGO, IL 60654-3036
(312) 670-0819
(312) 670-0829
Mailing address
300 N STATE ST, SUITE 4124, CHICAGO, IL 60654-5414
(312) 670-0819
(312) 670-0829
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036071319
IL
Other
Enumeration date
03/01/2017
Last updated
04/27/2017
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