Individual
DR. MARY DIYA CHALAVEETIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
369 PERSIMMON CT, BARTLETT, IL 60103-1586
(630) 518-0899
Mailing address
369 PERSIMMON CT, BARTLETT, IL 60103-1586
(630) 518-0899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034475
IL
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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