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Individual

DR. GERALD LEE HIRSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
96 N KENNEDY DR STE 205, CARPENTERSVILLE, IL 60110-1674
(847) 426-3402
(847) 426-3473
Mailing address
96 N KENNEDY DR STE 205, CARPENTERSVILLE, IL 60110-1674
(847) 426-3402
(847) 426-3473

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
IL

Other

Enumeration date
11/09/2006
Last updated
07/08/2007
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