Individual
DR. ISRAEL JACINTO WARENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5406 W DEVON AVE, SUITE 200, CHICAGO, IL 60646-4136
(773) 792-1313
(773) 792-8063
Mailing address
5406 W DEVON AVE, SUITE 200, CHICAGO, IL 60646-4136
(773) 792-1313
(773) 792-8063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019019250
IL
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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