Individual
DR. LOUDJINE JEAN-MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 W MONTEREY AVE STE 9, CHICAGO, IL 60643-4257
(773) 445-9880
Mailing address
10062 S PROSPECT AVE, CHICAGO, IL 60643-2166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029286
IL
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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