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Individual

DR. CYNTHIA MICHALIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
6302 S ARCHER AVE, CHICAGO, IL 60638-2544
(773) 767-7474
(773) 767-7419
Mailing address
PO BOX 938, OAK FOREST, IL 60452-0938
(773) 767-7474

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-019563
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019019563
IL
Enumeration date
10/20/2006
Last updated
07/08/2007
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