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Individual

MIRIAM A. KALICHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1919 W TAYLOR ST, MC 681, CHICAGO, IL 60612-7246
(312) 996-7202
(312) 413-3445

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036057415
IL

Other

Enumeration date
08/08/2006
Last updated
01/24/2008
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