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February 12,2017

Antonio Columbus, MD
2086 Smith Avenue
Chicago, IL 60624

Dear Dr. Columbus:

We are pleased to provide professional services to you at no charge. If you


have health insurance, we would appreciate assignments of benefits for the
covered services. We will be glad to process your insurance claim for you.

If laboratory and x-ray services are preformed outside this clinic, please
check with the providers at the time of service regarding their billing
procedures.

Thank you for allowing us to participate in your health care.

Sincerely,

Mark Harfer, MD
Internal Medicine

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