Odie Payne III MD

NPI 1134345861 - Family Medicine - 207Q00000X

NPI Details
NPI 1134345861
Gender Male
Enumeration Date 04/18/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
333 S STATE REVENUE
CHICAGO DEPARTMENT OF PUBLIC HEALTH #200
CHICAGO IL, 60604, US
Phone (312) 747-9792
Fax (312) 747-9447
Business Location
333 S STATE REVENUE
CHICAGO DEPARTMENT OF PUBLIC HEALTH #200
CHICAGO IL, 60604, US
Phone (312) 747-9792
Fax (312) 747-9447
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Odie Payne III MD NPI is 1134345861, taxonomy code is 207Q00000X Odie Payne III MD physically located at 333 S State Revenue, Chicago IL, 60604. NPI Number Odie Payne III MD has the Individual type.

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1134345861 NPI number is provided on an as is basis without warranty of any kind. 1134345861 is maintained by the National Plan & Provider Enumeration System. The contents of Odie Payne III MD are for informational purposes only.