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1467160150
MUDAR AZZAM
CHICAGO, IL
NPI
1467160150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019.033999)
Enumeration Date
2022-11-10
Last Update Date
2022-11-10
Business Address
Dr. MUDAR AZZAM DDS
939 W NORTH AVE STE 890
CHICAGO, IL 60642-8683
Phone number: 312-642-3370
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Mailing Address
Dr. MUDAR AZZAM DDS
747 N WABASH AVE APT 1207
CHICAGO, IL 60611-2267
Phone number: 313-699-0374
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