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1891031647
CHICAGO ORAL MEDICINE
ORLAND PARK, IL
NPI
1891031647
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Entity Type
Organization
Authorized Contact
BASSAM ALI ISSA
Preseident
517-214-4034
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019029193)
Enumeration Date
2012-12-26
Last Update Date
2012-12-26
Business Address
CHICAGO ORAL MEDICINE
10763 163RD PLACE
ORLAND PARK, IL 60467
Phone number: 517-214-4034
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Mailing Address
CHICAGO ORAL MEDICINE
10763 163RD PL
ORLAND PARK, IL 60467-8861
Phone number: 517-214-4034
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