Carolyn Ann Condiff
Dental Hygienist
2424 S Pulaski Rd
Chicago
, Illinois 60623-3718
Carolyn Ann Condiff
Dental Hygienist
2424 S Pulaski Rd
Chicago
, Illinois 60623-3718
(773) 655-5722
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Carolyn Ann Condiff
- 4848 S Drexel Blvd Apt 2w
- Chicago, IL
- Zip : 60615-1708
- Phone : (773) 655-5722
Second Address
- Carolyn Ann Condiff
- 2424 S Pulaski Rd
- Chicago, IL
- Zip : 60623-3718
- Phone : (773) 521-0750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 020011855 | IL |
National Provider Identifier
| NPI | 1073131926 |
|---|---|
| Provider Name | Carolyn Ann Condiff |
| First Address | Chicago, IL 60615-1708 |
| Second Address | Chicago, IL 60623-3718 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2020 |
| Last Update Date | 08/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.