Individual
CARLA MASSIGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 S PAULINA ST RM 269G, CHICAGO, IL 60612-7210
(312) 355-4290
Mailing address
801 S PAULINA ST RM 269G, CHICAGO, IL 60612-7210
(312) 355-4290
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
136000281
IL
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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