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1710722186
ISMAEL VELASCO
CHICAGO, IL
NPI
1710722186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019.035263)
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
Dr. ISMAEL VELASCO DMD
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
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Mailing Address
Dr. ISMAEL VELASCO DMD
2312 S KOSTNER AVE
CHICAGO, IL 60623-2922
Phone number: 773-704-4510
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