Organization
EUGENE MERBAUM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE MERBAUM DDS (PRESIDENT)
(312) 842-7846
Entity
Organization
Contact information
Practice address
3201 SOUTH WALLACE ST, CHICAGO, IL 60616-3501
(312) 842-7846
(312) 842-8340
Mailing address
3201 SOUTH WALLACE ST, CHICAGO, IL 60616-3501
(312) 842-7846
(312) 842-8340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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