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Individual

DR. D JAMIESON BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1249 N GREENVIEW AVE APT 1, CHICAGO, IL 60642
(315) 941-7633
Mailing address
1249 N GREENVIEW AVE APT 1, CHICAGO, IL 60642
(315) 941-7633

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
319.020159
IL

Other

Enumeration date
08/28/2016
Last updated
08/28/2016
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