Individual
MRS. ERIN NICOLE MACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N MCCLURG CT, APT 4105A, CHICAGO, IL 60611-3044
(312) 926-6100
Mailing address
600 N MCCLURG CT, APT 4105A, CHICAGO, IL 60611-3044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
018.001780
IL
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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