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1487174124
ISMAEEL SHANSHAL
CHICAGO, IL
NPI
1487174124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223D0004X Dentist, Dentist Anesthesiologist Speciality
(Licence: IL 019.031284)
Enumeration Date
2017-06-23
Last Update Date
2024-06-18
Business Address
ISMAEEL SHANSHAL
811 W WELLINGTON AVE
CHICAGO, IL 60657-5123
Phone number: 773-871-2188
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Mailing Address
ISMAEEL SHANSHAL
1900 W POLK ST
CHICAGO, IL 60612-3723
Phone number: 224-500-1306
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