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1821630054
NEAR NORTH HEALTH
CHICAGO, IL
NPI
1821630054
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Entity Type
Organization
Authorized Contact
DESTENII THOMAS ANDERSON
Dental Hygienist
773-629-5488
Organization Subpart ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
NEAR NORTH HEALTH
4259 S BERKELEY AVE
CHICAGO, IL 60653-3030
Phone number: 773-629-5488
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Mailing Address
NEAR NORTH HEALTH
4259 S BERKELEY AVE
CHICAGO, IL 60653-3030
Phone number: 773-629-5488
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