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1104111772
SHALAKO LEE DENISON
CHICAGO, IL
NPI
1104111772
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 125059639)
Enumeration Date
2011-06-12
Last Update Date
2021-04-22
Business Address
SHALAKO LEE DENISON M.D.
1901 W HARRISON ST
CHICAGO, IL 60612-3714
Phone number: 312-864-6000
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Mailing Address
SHALAKO LEE DENISON M.D.
1635 W HURON ST
CHICAGO, IL 60622-5607
Phone number: 248-318-0212
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