Individual
MARINA KARNAUKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4901 N KEDZIE AVE, CHICAGO, IL 60625-5009
(773) 340-8318
Mailing address
1147 W DIVERSEY PKWY # 1, CHICAGO, IL 60614-1318
(440) 668-6486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019030422
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2014
Last updated
09/28/2015
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