Individual
DR. MARY HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5643 N FAIRFIELD AVE, CHICAGO, IL 60659-4816
(773) 271-5200
Mailing address
5643 N FAIRFIELD AVE, CHICAGO, IL 60659-4816
(773) 271-5200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019019953
IL
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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