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LAURENCE J SEGIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3249 OAK PARK AVE, ANESTHESIOLOGY DEPARTMENT, BERWYN, IL 60402-3429
(708) 783-3667
Mailing address
1233 RELIABLE PKWY, CHICAGO, IL 60686-0001

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-060524
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036060524
IL
Enumeration date
06/30/2006
Last updated
07/08/2007
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