Documentos de Académico
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January 9, 2018
Antonio Columbus
2086 Smith Avenue
Chicago, IL 60624
We are pleased to provide professional services for you at no charge. If you have health
insurance, we would appreciate assignment of benefits for the covered services. We will be
glad to process your insurance claim for you.
If laboratory and x-ray services are performed outside this clinic, please check with the
providers at the time of service regarding their billing procedures.
Sincerely,
Mark Harfer, MD
Internal Medicine
xx.