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Organization

DEAN S. ECONOMOS, MD, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEAN S ECONOMOS M.D. (PRESIDENT)
(847) 973-9640
Entity
Organization

Contact information

Practice address
727 GRAND AVE, INGLESIDE, IL 60041-9748
(847) 973-9640
(847) 973-9639
Mailing address
727 GRAND AVE, INGLESIDE, IL 60041-9748
(847) 973-9640
(847) 973-9639

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/30/2008
Last updated
10/06/2008
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