Individual
DR. MICHELLE AKEMI MARCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(312) 996-1036
Mailing address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(312) 996-1036
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
019.032887
IL
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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