ENRICO MEDINA

CHICAGO, IL
NPI1720184559
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019-021254)
Enumeration Date2006-09-16
Last Update Date2007-07-08
Business Address
Dr. ENRICO MEDINA DDS
10142 S WESTERN AVE
CHICAGO, IL 60643-1928
Phone number: 773-233-3535
Mailing Address
Dr. ENRICO MEDINA DDS
2320 SIMSBURY CT
NAPERVILLE, IL 60564-9559
Phone number: 630-904-4030
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