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Organization

LAND MEDICAL ASSOCIATES SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAND A SPENCER MD (MD)
(773) 484-4425
Entity
Organization

Contact information

Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4425
Mailing address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4425

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
IL

Other

Enumeration date
03/26/2014
Last updated
03/26/2014
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