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1225220726
PHILIP MARK MUSSARI
CHICAGO, IL
NPI
1225220726
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019021820)
Enumeration Date
2007-08-17
Last Update Date
2007-08-17
Business Address
Dr. PHILIP MARK MUSSARI D.D.S.
4725 W FULLERTON AVE
CHICAGO, IL 60639-1817
Phone number: 773-252-4240
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Mailing Address
Dr. PHILIP MARK MUSSARI D.D.S.
5042 PRATT AVE
SKOKIE, IL 60077-3513
Phone number: 847-983-0748
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