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Individual

MARIA LYSINSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S

Contact information

Practice address
4420 N MILWAUKEE AVE, CHICAGO, IL 60630-3710
(773) 286-4209
(773) 286-6999
Mailing address
4420 N MILWAUKEE AVE, CHICAGO, IL 60630-3710
(773) 286-4209
(773) 286-6999

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
01/04/2007
Last updated
07/08/2007
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