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1699809202
STEPHEN P RUSSO
CHICAGO, IL
NPI
1699809202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: IL 019-026457)
Enumeration Date
2007-03-15
Last Update Date
2014-03-31
Business Address
Dr. STEPHEN P RUSSO DMD
25 E. WASHINGTON ST SUITE 1125
CHICAGO, IL 60602
Phone number: 312-641-2572
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Mailing Address
Dr. STEPHEN P RUSSO DMD
25 E. WASHINGTON ST SUITE 1125
CHICAGO, IL 60602
Phone number: 312-641-2572
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