Individual
MARK DAPASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(443) 799-5142
Mailing address
5316 S DORCHESTER AVE APT 308, CHICAGO, IL 60615-5362
(443) 799-5142
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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