CHICAGO LIPO LASER, LLC
Ambulatory Health at Devon Ave, Chicago, IL

License number
Illinois IL1197
Category
Ambulatory Health
Type
Sleep Disorder Diagnostic
Owner
Name: MR. GEORGE THOMAS NELLAMATTATHIL
Title: MANAGER
Phone: (773) 774-6440
Address
Address
5318 W Devon Ave, Chicago, IL 60646
National Provider ID: 1952791220
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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