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1265818215
KATHARINA ATMADJA
CHICAGO, IL
NPI
1265818215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 136-000193)
Enumeration Date
2015-07-31
Last Update Date
2015-07-31
Business Address
-- KATHARINA ATMADJA
801 S PAULINA ST ROOM 301
CHICAGO, IL 60612-7210
Phone number: 312-996-1036
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Mailing Address
-- KATHARINA ATMADJA
801 S PAULINA ST ROOM 301
CHICAGO, IL 60612-7210
Phone number:
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