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Organization

MATERNAL FETAL CONSULTANTS, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDE R DUVAL MD (OWNER/PHYSICIAN)
(224) 783-8975
Entity
Organization

Contact information

Practice address
1425 N RANDALL RD, SHERMAN HOSP, ST 1-2150, ELGIN, IL 60123-2300
(224) 783-8975
(224) 783-3956
Mailing address
PO BOX 357, ELGIN, IL 60121-0357

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
042.617773
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235171877
NPI FOR DR JUDE DUVAL
IL
Enumeration date
05/30/2008
Last updated
08/04/2010
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