BRIAN JOSEPH WALCZAK

CHICAGO, IL
NPI1740501774
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019.028305)
Enumeration Date2010-06-14
Last Update Date2010-06-14
Business Address
Dr. BRIAN JOSEPH WALCZAK D.D.S.
811 W WELLINGTON AVE
CHICAGO, IL 60657-5123
Phone number: 773-871-4964
Mailing Address
Dr. BRIAN JOSEPH WALCZAK D.D.S.
1150 W 15TH ST UNIT 210
CHICAGO, IL 60608-3686
Phone number: 312-265-1448
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