IndividualActive
Clarissa Couch, DDS
NPI 1447388764 · Dentist · Bridgeview, IL
Provider details
- NPI number
- 1447388764
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- License
- 019022817 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
10220 S 76th Ave
Suite 250
Bridgeview, IL 60455-2425
Phone: (708) 974-6160
Approximate (ZIP-level) locationGet directions
Mailing address
2020w Harrison St
Chicago, IL 60612-3741
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2021-04-22
- Certified
- 2021-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.