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1326311127
FRED EUGENE BURKHARDT
CHICAGO, IL
NPI
1326311127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019011410)
Enumeration Date
2012-02-10
Last Update Date
2012-02-10
Business Address
Dr. FRED EUGENE BURKHARDT D.D.S
6027 W ADDISON ST
CHICAGO, IL 60634-4210
Phone number: 773-736-2688
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Mailing Address
Dr. FRED EUGENE BURKHARDT D.D.S
6027 W ADDISON ST
CHICAGO, IL 60634-4210
Phone number: 773-736-2688
Copy
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