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Organization

TARGET CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL TEUFER (ADMINISTRATIVE OFFICIAL)
(612) 761-5638
Entity
Organization

Contact information

Practice address
2112 W PETERSON AVE, CHICAGO, IL 60659-4277
(773) 761-3001
Mailing address
2112 W PETERSON AVE, CHICAGO, IL 60659-4277
(773) 761-3001

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
209011031
IL

Other

Enumeration date
12/10/2013
Last updated
12/10/2013
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