Document e5q2pJx1Z7Ma7yd6kjerw1rbm
*0325 6 WESTERN CHICAGO. ILLINOIS 60643
Te l e p h o n c . 233-83 ts
February 12,
10__82
FOR PROFESSIONAL SERVICES
Re: Account # 09-9410
Anestheisa administered on Decenber 2, 1981 to Frank at Little Co of Mary Hospital.
$287.00
Diagnosis: Broncbcgenie CA
Operation: Fiberoptic bronchoscopy and mediastinoscopy. EKG Monitoring
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PLEASE SEND YOUR NUMBER IF YOU HAVE BLUE SHIELD INSURANCE.
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N40117
0007-SWP-005802720