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Individual

MR. JAMES ROBERT CONERTY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RSA

Contact information

Practice address
750 ALMAR PKWY, SUITE 205, BOURBONNAIS, IL 60914-2315
(815) 933-3955
(815) 933-3944
Mailing address
1372 JEFFERY ST, BRADLEY, IL 60915-2047
(815) 928-8875
(815) 933-3944

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
IL

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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