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Individual

ANASTASIA GANT KANEGUSUKU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5841 S MARYLAND AVE # MC0006, CHICAGO, IL 60637-1443
(773) 702-5338
Mailing address
5841 S MARYLAND AVE # MC0006, CHICAGO, IL 60637-1443
(773) 702-5338

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
NA
IL

Other

Enumeration date
03/09/2023
Last updated
03/09/2023
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