Individual
LARISSA ANN SLETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO/LPO
Contact information
Practice address
20 EXECUTIVE CT STE 2, S BARRINGTON, IL 60010-9543
(847) 382-3222
Mailing address
1S376 SUMMIT AVE, COURT E, OAKBROOK TERRACE, IL 60181
(630) 424-0392
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
211000306
IL
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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