ALIAKSANDR SHABANOVICH

CHICAGO, IL
NPI1164900973
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.031814)
Enumeration Date2018-08-02
Last Update Date2018-08-02
Business Address
ALIAKSANDR SHABANOVICH
5200 S ARCHER AVE
CHICAGO, IL 60632-4772
Phone number: 773-581-1345
Mailing Address
ALIAKSANDR SHABANOVICH
1416 W CULLERTON ST APT 2R
CHICAGO, IL 60608-3017
Phone number: 347-981-0552