Individual
DR. MARY ELIZABETH HAUPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1725 W NORTH AVE, CHICAGO, IL 60622-2188
(773) 227-1048
Mailing address
1702 N BISSELL ST, CHICAGO, IL 60614-5506
(847) 254-1169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028004
IL
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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