Individual
MS. ELISABETH RAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1950 W POLK ST STE 1000, CHICAGO, IL 60612-3723
(312) 864-3999
Mailing address
1950 W POLK ST STE 1000, CHICAGO, IL 60612-3723
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
020014658
IL
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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