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1275698003
RUSSELL A BAER
CHICAGO, IL
NPI
1275698003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL 019019898)
Enumeration Date
2006-12-22
Last Update Date
2021-03-03
Business Address
RUSSELL A BAER DDS
222 N LASALLE ST 230
CHICAGO, IL 60601-1002
Phone number: 773-834-4064
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Mailing Address
RUSSELL A BAER DDS
5841 S MARYLAND AVE # MC1099
CHICAGO, IL 60637-1447
Phone number:
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