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Individual

BRIAN GINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-6730
Mailing address
585 THORNBERRY CT, BOURBONNAIS, IL 60914-4582
(815) 278-0455

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/03/2018
Last updated
04/03/2018
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