Individual
ANITA USCINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH. BS
Contact information
Practice address
6941 W ARCHER AVE, CHICAGO, IL 60638-2330
(773) 586-5040
Mailing address
13650 S ERIN DR, HOMER GLEN, IL 60491-8107
(773) 653-6235
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
020014427
IL
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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