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1083282107
WILLIAM MICHAEL BLACK
CHICAGO, IL
NPI
1083282107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.033082)
Enumeration Date
2021-06-15
Last Update Date
2021-06-15
Business Address
Dr. WILLIAM MICHAEL BLACK DMD
2316 W MADISON ST STE 2228
CHICAGO, IL 60612-2228
Phone number: 312-491-0601
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Mailing Address
Dr. WILLIAM MICHAEL BLACK DMD
3326 W IRVING PARK RD APT 1E
CHICAGO, IL 60618-3326
Phone number: 847-421-7182
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