Organization
ESHO S MARCUS DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESHO S MARCUS DMD (PRESIDENT)
(773) 262-0500
Entity
Organization
Contact information
Practice address
2722 W PETERSON AVE, CHICAGO, IL 60659-3920
(773) 262-0500
(773) 262-2256
Mailing address
2722 W PETERSON AVE, CHICAGO, IL 60659-3920
(773) 262-0500
(773) 262-2256
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
060-003714
IL
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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