Individual
DEON ROSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4317 S ASHLAND AVE, CHICAGO, IL 60609-3140
(773) 832-5716
Mailing address
667 TAFT ST, GARY, IN 46404-1320
(219) 315-6050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.037225
IL
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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