PHILIP NELSON

CHICAGO, IL
NPI1083768113
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223D0001X Dentist, Dental Public Health
(Licence: IL  019015620)
Enumeration Date2007-01-23
Last Update Date2007-07-08
Business Address
-- PHILIP NELSON
6124 N OVERHILL AVE
CHICAGO, IL 60631-3817
Phone number: 773-763-8202
Mailing Address
-- PHILIP NELSON
6124 N OVERHILL AVE
CHICAGO, IL 60631-3817
Phone number: 773-763-8202
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