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MACENTEE KNOX & VARGAS MDS

Preferred Provider Organization

NPI: 1275729303Organization

Specialties, Licenses & Credentials

Preferred Provider OrganizationPrimary

Preferred Provider Organization

Code: 305R00000X

036047977(IL)036072512(IL)
Point of Service

Point of Service

Code: 305S00000X

036063080(IL)

Contact & Hours

Address
10627 S PULASKI RD
CHICAGO, IL 60655

Quick Facts

NPI
1275729303
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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