Individual
MARIANNE DIACHENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
25 EAST WASHINGTON STREET, SUITE 302, CHICAGO, IL 60602
(312) 372-4867
(312) 372-0089
Mailing address
25 EAST WASHINGTON STREET, SUITE 302, CHICAGO, IL 60602
(312) 372-4867
(312) 372-0089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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