IndividualActive
Darlisa Kendall, DENTAL HYGENIST
NPI 1376040485 · Dental Hygienist · Chicago, IL
Provider details
- NPI number
- 1376040485
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- DENTAL HYGENIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 020.011820 (IL)
Specialties & taxonomies
Dental Providers
Practice location
5635 S Pulaski Rd
Chicago, IL 60629-4438
Phone: (773) 585-3900
Approximate (ZIP-level) locationGet directions
Mailing address
800 E 55th St
Chicago, IL 60615-4906
Additional practice locations (2)
- 800 E 55th StChicago, IL 60615-4906Phone: (773) 795-2260Fax: (773) 834-3756
- 5843 S Western AveChicago, IL 60636-1526Phone: (773) 434-8600
Registry dates
- Enumerated
- 2018-04-06
- Last updated
- 2018-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.