Organization
LINCONA MEDICAL ASSO.LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GALINA GRIBOVICH M.D (FAMILY PRACTICE)
(773) 878-1515
Entity
Organization
Contact information
Practice address
5131 N LINCOLN AVE, CHICAGO, IL 60625-2585
(773) 878-1515
Mailing address
5131 N LINCOLN AVE, CHICAGO, IL 60625-2585
(773) 878-1515
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
IL
Other
Enumeration date
07/18/2006
Last updated
11/15/2007
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