Individual
MRS. DANA ROSE CONLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1816 S RACINE AVE #2R, CHICAGO, IL 60608
(203) 583-0030
Mailing address
1816 S RACINE AVE # 2R, CHICAGO, IL 60608-3214
(203) 583-0030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
057.003001
IL
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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