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Individual

DR. CARL F. SEMRAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
34 63RD ST, WILLOWBROOK, IL 60527-2981
(630) 655-3883
(630) 655-3957
Mailing address
34 WEST 63RD ST., WILLOWBROOK, IL 60527-2981
(630) 655-3883
(630) 655-3957

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-16703
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019-16703
STATE ID#
IL
Enumeration date
01/03/2008
Last updated
01/03/2008
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