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Individual

MR. JOHN V LOOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5842 W HIGGINS, CHICAGO, IL 60630
(773) 736-7979
(773) 736-0774
Mailing address
5842 W HIGGINS, CHICAGO, IL 60630
(773) 736-7979
(773) 736-0774

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
08/29/2006
Last updated
07/08/2007
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