Individual
MS. DAYNA M MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8142 S CHAMPLAIN AVE, CHICAGO, IL 60619-5004
(773) 573-4952
Mailing address
8142 S CHAMPLAIN AVE, CHICAGO, IL 60619-5004
(773) 573-4952
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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