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1710940762
JACK LAWRENCE LIEBERMAN
CHICAGO, IL
NPI
1710940762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 01912631)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
Dr. JACK LAWRENCE LIEBERMAN D.D.S.
5400 N MILWAUKEE AVE SUITE1MS
CHICAGO, IL 60630-1272
Phone number: 773-774-4121
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Mailing Address
Dr. JACK LAWRENCE LIEBERMAN D.D.S.
5400 N MILWAUKEE AVE SUITE1MS
CHICAGO, IL 60630-1272
Phone number: 773-774-4121
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