GERALD LEON WINE

CHICAGO, IL
NPI1740326537
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019013232)
Enumeration Date2007-01-29
Last Update Date2007-07-08
Business Address
-- GERALD LEON WINE DDS
2632 W DIVISION ST
CHICAGO, IL 60622
Phone number: 773-235-0980
Mailing Address
-- GERALD LEON WINE DDS
2632 W DIVISION ST
CHICAGO, IL 60622
Phone number: 773-235-0980
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