LEO PAUL KRUSACK

GLEN ELLYN, IL
NPI1689740334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  19A-14094)
Enumeration Date2006-11-27
Last Update Date2007-07-08
Business Address
Dr. LEO PAUL KRUSACK DDS
444 N MAIN ST
GLEN ELLYN, IL 60137
Phone number: 630-858-1120
Mailing Address
Dr. LEO PAUL KRUSACK DDS
444 N MAIN ST
GLEN ELLYN, IL 60137
Phone number: 630-858-1120
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