Individual
MARCELL LESUEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
350 N CLARK ST, STE 600, CHICAGO, IL 60654-4712
(920) 838-1649
Mailing address
479 N HARLEM AVE, APT 303, OAK PARK, IL 60301-6401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029560
IL
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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