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Organization
CLINICAL ASSOCIATES OF PALOS HEIGHTS SC
Active
Organization
CLINICAL ASSOCIATES OF PALOS HEIGHTS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LEE WAIDZUNAS MD (OWNER)
(708) 361-8449
Entity
Organization
Contact information
Practice address
11824 SOUTHWEST HWY, SUITE 110, PALOS HEIGHTS, IL 60463-1055
(708) 361-8449
(708) 361-8469
Mailing address
11824 SOUTHWEST HWY, SUITE 110, PALOS HEIGHTS, IL 60463-1055
(708) 361-8449
(708) 361-8469
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.078350
IL
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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