Individual
CLEMENTINA CANESSA MAZZONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1855 W TAYLOR ST, CHICAGO, IL 60612-7242
(129) 966-5223
Mailing address
1855 W TAYLOR ST, CHICAGO, IL 60612-7242
(312) 996-6522
(312) 996-7373
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
01/04/2023
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