WALTER KELLEY FARRIS

OAK PARK, IL
NPI1780235655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019.032072)
Enumeration Date2019-09-23
Last Update Date2019-09-23
Business Address
-- WALTER KELLEY FARRIS DMD
1515 N HARLEM AVE STE 200
OAK PARK, IL 60302-1277
Phone number: 708-848-2853
Mailing Address
-- WALTER KELLEY FARRIS DMD
401 E ONTARIO ST APT 2506
CHICAGO, IL 60611-4417
Phone number: 815-861-1308
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