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Individual

DR. ERIC MINDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4300 N. MARINE DR., 903, CHICAGO, IL 60613-5802
(773) 549-7013
(773) 549-7013
Mailing address
4300 N. MARINE DR., 903, CHICAGO, IL 60613-5802
(773) 549-7013
(773) 549-7013

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036101415
IL
208100000X
Physical Medicine & Rehabilitation Physician
MD014307E
PA

Other

Enumeration date
12/28/2011
Last updated
12/28/2011
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