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Organization
SAN PABLO HEALTH CENTER
Active
Organization
SAN PABLO HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC T MIZUNO M.D. (PRESIDENT)
(312) 859-4518
Entity
Organization
Contact information
Practice address
706 ARBOR LN, GLENVIEW, IL 60025-3426
(312) 859-4518
Mailing address
706 ARBOR LN, GLENVIEW, IL 60025-3426
(312) 859-4518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036082731
IL
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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