Individual
DR. MARIA LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5826 W FULLERTON AVE, CHICAGO, IL 60639-2331
(773) 622-4662
Mailing address
5826 W FULLERTON AVE, CHICAGO, IL 60639-2331
(773) 622-4662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021520
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437361011
TYPE 2 NPI
IL
Enumeration date
07/01/2013
Last updated
07/01/2013
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