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Individual

MR. SANDY A. KRUM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC/L

Contact information

Practice address
1278 N MILWAUKEE AVE, NUMBER 2W, CHICAGO, IL 60622-2289
(773) 308-5700
Mailing address
1278 N MILWAUKEE AVE, NUMBER 2W, CHICAGO, IL 60622-2289
(773) 308-5700

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
IL

Other

Enumeration date
02/10/2006
Last updated
07/25/2007
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