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Individual

DR. MICHAEL ROGER KEATING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(888) 352-7874
Mailing address
180 N JEFFERSON ST, APARTMENT 1909, CHICAGO, IL 60661-1447
(406) 690-3185

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125067634
IL

Other

Enumeration date
06/15/2015
Last updated
06/15/2015
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