Individual
ANNE M CORSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9541 S PULASKI RD, EVERGREEN PARK, IL 60805-1911
(708) 424-2220
Mailing address
9541 S PULASKI RD, EVERGREEN PARK, IL 60805-1911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034240
IL
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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