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Individual

DR. LENA JUDITH CASIMIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
828 S WABASH AVE, SUITE # 250, CHICAGO, IL 60605-2181
(312) 922-3411
(312) 663-1895
Mailing address
10409 WHITE OAK LN, #3-D, MUNSTER, IN 46321-3897
(219) 730-6265
(312) 663-1895

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9178901
IL
Enumeration date
02/28/2007
Last updated
07/09/2007
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