Individual
JERRY S SPYRATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3550 W PETERSON AVE, SUITE 101, CHICAGO, IL 60659-3270
(773) 279-0304
Mailing address
3550 W PETERSON AVE, SUITE 101, CHICAGO, IL 60659-3270
(773) 279-0304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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