Individual
GINA MARIE MISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6535 W 60TH ST, CHICAGO, IL 60638-3313
(312) 206-9480
Mailing address
6535 W 60TH ST, CHICAGO, IL 60638-3313
(312) 206-9480
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020-007937
IL
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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