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Individual

DR. JACK GORDON SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
27 W PROSPECT AVE, MOUNT PROSPECT, IL 60056-3213
(848) 253-7000
(847) 253-8257
Mailing address
2620 APPLETREE LN, NORTHBROOK, IL 60062-3406

Taxonomy

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

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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