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1487110029
WISAM MUSA
CHICAGO, IL
NPI
1487110029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019033348)
Enumeration Date
2019-02-19
Last Update Date
2021-11-08
Business Address
WISAM MUSA
1600 E 93RD ST
CHICAGO, IL 60617-3607
Phone number: 773-530-7550
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Mailing Address
WISAM MUSA
2500 METROHEALTH DR
CLEVELAND, OH 44109-1900
Phone number: 216-778-4486
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