DR DALE S RAINES & ASSOCIATES LTD
Medical Practice at Cicero Ave, Oak Lawn, IL

License number
Illinois 036056728
Category
Medical Practice
Type
Specialist
Owner
Name: DR. ROBERT A RAINES M.D.
Title: PRESIDENT
Phone: (708) 636-1601
Address
Address
10837 S Cicero Ave SUITE 320, Oak Lawn, IL 60453
National Provider ID: 1215076708
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DR. DALE S. RAINES & ASSOCIATES, LTD

Oak Lawn, IL 60453

Status:
Inactive
Registration:
Sep 2, 1969
State ID:
49549938
Business type:
Domestic Bca
Expiration:
Perpetual
Agent:
Robert A Raines,10837 S Cicero SUITE 320, Oak Lawn, IL 60453 (Physical)

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