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1740341973
CHARLES J GREENEBAUM
FLOSSMOOR, IL
NPI
1740341973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019-018151)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
Dr. CHARLES J GREENEBAUM DDS
19615 GOVERNORS HWY
FLOSSMOOR, IL 60422-2037
Phone number: 708-647-6453
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Mailing Address
Dr. CHARLES J GREENEBAUM DDS
19615 GOVERNORS HWY
FLOSSMOOR, IL 60422-2037
Phone number: 708-647-6453
Copy
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