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Organization
P. DEGAND M D SC
Active
Organization
P. DEGAND M D SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PANCHO DEGAND M.D. (PRESIDENT)
(312) 842-3971
Entity
Organization
Contact information
Practice address
2555 S MARTIN LUTHER KING DR, CHICAGO, IL 60616-2419
(312) 842-3971
(312) 842-3691
Mailing address
2555 S MARTIN LUTHER KING DR, CHICAGO, IL 60616-2419
(312) 842-3971
(312) 842-3691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036055665
IL
Other
Enumeration date
06/27/2010
Last updated
04/16/2015
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