Individual
LUCY AMANDA MCDADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-2100
Mailing address
6623 102ND ST UNIT 1D, PLEASANT PRAIRIE, WI 53158-3353
(847) 287-8879
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020010707
IL
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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