MICHAEL BASIL COSMOS

CHICAGO, IL
NPI1508494808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-31
Last Update Date2020-03-31
Business Address
MICHAEL BASIL COSMOS DMD
811 W WELLINGTON AVE
CHICAGO, IL 60657-5123
Phone number: 773-871-1461
Mailing Address
MICHAEL BASIL COSMOS DMD
811 W WELLINGTON AVE
CHICAGO, IL 60657-5123
Phone number: 773-871-1461
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