Individual
DR. MARY CHIAKULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1315 N RIVERSIDE DR, MCHENRY, IL 60050-4509
(815) 385-1360
(815) 385-3879
Mailing address
1315 N RIVERSIDE DR, MCHENRY, IL 60050-4509
(815) 385-1360
(815) 385-3879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-019836
IL
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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