NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1205814118
PHYSICIANS IMMEDIATE CARE NORTH CHICAGO PLLC
9701 W HIGGINS RD
ROSEMONT
IL
600184703
1487687810
BENJAKUL
PHILIP
SUDCHART
312 GRANBY RD
LAKE FOREST
IL
600451466
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