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Organization
PRESENCE CHICAGO HOSPITALS NETWORK
Active
Organization
PRESENCE CHICAGO HOSPITALS NETWORK
Active
Other names
Presence LaBoure Outpatient Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN RASMUS (CFO)
(630) 914-2468
Entity
Organization
Contact information
Practice address
2913 N COMMONWEALTH AVE, CHICAGO, IL 60657-6211
(773) 665-3080
Mailing address
1000 REMINGTON BLVD, SUITE 100, BOLINGBROOK, IL 60440-5114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
03/07/2016
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