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1134227218
WAYNE BELLEN
CHICAGO, IL
NPI
1134227218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 19014256)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Dr. WAYNE BELLEN DDS
3752 W 16TH ST
CHICAGO, IL 60623
Phone number: 773-277-2262
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Mailing Address
Dr. WAYNE BELLEN DDS
1005 S WASHINGTON
PARK RIDGE, IL 60068-4812
Phone number: 773-277-2262
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