Whalio Doctors

NPI 1073131926

Carolyn Ann Condiff

Practitioner Dental Hygienist Chicago, IL

Practice location

Address
2424 S Pulaski Rd, Chicago, IL 60623-3718
Phone
(773) 521-0750
Mailing address
4848 S Drexel Blvd APT 2w, Chicago, IL 60615-1708

Registered specialties

Dental Hygienist Primary
Dental Providers Taxonomy 124Q00000X Licence 020011855 (IL)

Registry record

NPI
1073131926
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jul 2020
Record last updated
8 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.