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1447449798
ROBERT CHARLES DEZANEK
CHICAGO, IL
NPI
1447449798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: IL 016003970)
Enumeration Date
2007-10-22
Last Update Date
2007-10-22
Business Address
Dr. ROBERT CHARLES DEZANEK DPM
5916 W HIGGINS AVE
CHICAGO, IL 60630-1905
Phone number: 773-283-1911
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Mailing Address
Dr. ROBERT CHARLES DEZANEK DPM
5916 W HIGGINS AVE
CHICAGO, IL 60630-1905
Phone number: 773-283-1911
Copy
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