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Organization
IORA HEALTH ILLINOIS PHYSICIANS, P.C.
Active
Organization
IORA HEALTH ILLINOIS PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC-DAVID MUNK MD (CHIEF MEDICAL OFFICER)
(617) 454-4672
Entity
Organization
Contact information
Practice address
611 W ROOSEVELT RD, CHICAGO, IL 60607-4911
(773) 570-3382
(773) 453-8116
Mailing address
101 TREMONT ST FL 6, BOSTON, MA 02108-5004
(617) 454-4672
(617) 701-7740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
12/09/2016
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