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Individual

JONI EVANGELISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2750 W NORTH AVE, 2ND FLOOR, CHICAGO, IL 60647-5247
(312) 432-4550
Mailing address
1354 N WOLCOTT AVE, UNIT A, CHICAGO, IL 60622-3110

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020.012553
IL

Other

Enumeration date
04/18/2011
Last updated
04/18/2011
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