Individual
MS. LISA BETH KOBIALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6800 S MAIN STREET, DOWNERS GROVE, IL 60516
(630) 969-5350
Mailing address
14358 HEATHER LN, HOMER GLEN, IL 60491
(708) 359-0532
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
IL
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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