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Organization

REBECCA J DUKE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA J DUKE M.D. (PRESIDENT)
(773) 202-7703
Entity
Organization

Contact information

Practice address
3929 N CENTRAL AVE, STE 3, CHICAGO, IL 60634-3072
(773) 202-7703
(773) 202-7708
Mailing address
3929 N CENTRAL AVE, STE 3, CHICAGO, IL 60634-3072
(773) 202-7703
(773) 202-7708

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036079316
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036079316
IL
Enumeration date
01/29/2010
Last updated
01/29/2010
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