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1124156773
EDISON A ISHAYA
CHICAGO, IL
NPI
1124156773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019024678)
Enumeration Date
2007-03-02
Last Update Date
2007-07-09
Business Address
Dr. EDISON A ISHAYA DDS
3855 W NORTH AVE
CHICAGO, IL 60647-4640
Phone number: 773-782-8900
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Mailing Address
Dr. EDISON A ISHAYA DDS
3855 W NORTH AVE
CHICAGO, IL 60647-4640
Phone number: 773-782-8900
Copy
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