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Organization

BUN SIU L CO, MD, SC

Active
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Organization

BUN SIU L CO, MD, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL R CO M.D. (PRESIDENT/OWNER)
(815) 838-7965
Entity
Organization

Contact information

Practice address
300 READ ST, SUITE C, LOCKPORT, IL 60441-3265
(815) 838-7965
(815) 838-8011
Mailing address
300 READ ST, SUITE C, LOCKPORT, IL 60441-3265
(815) 838-7965
(815) 838-8011

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
IL

Other

Enumeration date
08/17/2007
Last updated
08/17/2007
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