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Individual

DR. CHARLES M. SCHOENFELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1615 N VINE ST, CHICAGO, IL 60614-5117
(312) 787-3075
(312) 787-3075
Mailing address
1615 N VINE ST, CHICAGO, IL 60614-5117
(312) 787-3075
(312) 787-3075

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.012361
IL

Other

Enumeration date
05/01/2008
Last updated
05/01/2008
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