Individual
HRISOULA PSIKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3334 N CENTRAL AVE, CHICAGO, IL 60634-4411
(773) 725-5600
Mailing address
3334 N CENTRAL AVE, CHICAGO, IL 60634-4411
(773) 725-5600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023412
IL
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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