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1104114214
ROBERT MIKELSON
CHICAGO, IL
NPI
1104114214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019019576)
Enumeration Date
2011-07-11
Last Update Date
2011-07-11
Business Address
-- ROBERT MIKELSON DDS
3838 W 111TH ST STE 105
CHICAGO, IL 60655-4042
Phone number: 773-233-6300
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Mailing Address
-- ROBERT MIKELSON DDS
3838 W 111TH ST STE 105
CHICAGO, IL 60655-4042
Phone number: 773-233-6300
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