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1477597862
JERRY DVORACEK
CHICAGO, IL
NPI
1477597862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019021625)
Enumeration Date
2006-06-15
Last Update Date
2010-11-09
Business Address
Dr. JERRY DVORACEK D.D.S
6169 N NORTHWEST HWY
CHICAGO, IL 60631-2140
Phone number: 773-792-2266
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Mailing Address
Dr. JERRY DVORACEK D.D.S
2157 WESTVIEW DR
DES PLAINES, IL 60018-2646
Phone number:
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