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1639169956
YELENA M REVICH
CHICAGO, IL
NPI
1639169956
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: IL 019026450)
Enumeration Date
2005-10-27
Last Update Date
2012-12-12
Business Address
Dr. YELENA M REVICH D.D.S.
3205 W IRVING PARK RD
CHICAGO, IL 60618-3301
Phone number: 332-267-2671
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Mailing Address
Dr. YELENA M REVICH D.D.S.
5005 WARREN ST # 409
SKOKIE, IL 60077-2986
Phone number: 847-568-5819
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