Individual
IRENA MICHELLE HYVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2607 W JARLATH ST, APT.2E, CHICAGO, IL 60645-1442
(773) 501-7614
Mailing address
2607 W JARLATH ST, APT. 2E, CHICAGO, IL 60645-1442
(773) 501-7614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027880
IL
122300000X
Dentist
PENDING
IL
Other
Enumeration date
02/28/2009
Last updated
11/19/2020
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