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Individual

DR. RAYMOND A MCDERMOTT III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 N WABASH, #1717, CHICAGO, IL 60602
(312) 346-6330
(312) 346-5940
Mailing address
2740 W FOSTER AVE, STE LL7, CHICAGO, IL 60625-3543
(773) 878-8200
(773) 293-4197

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036063846
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036063846
IL
Enumeration date
01/05/2007
Last updated
10/30/2020
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