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Individual

DR. LISA ANN RAWLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
B.D.S.

Contact information

Practice address
UIC PEDIATRIC DENTISTRY RESIDENCY RM 256D (MC 850), 801 S. PAULINA ST., CHICAGO, IL 60613
(312) 413-7714
(312) 996-1981
Mailing address
UIC PEDIATRIC DENTISTRY, 801 S. PAULINA ST. MC 850, CHICAGO, IL 60612
(866) 600-2273

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019.035456
IL

Other

Enumeration date
04/30/2021
Last updated
05/02/2025
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