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Carliann Pentz

NPI 1629790761 · on the registry since 2022

Practice

Address
540 Michigan Ave
Evanston, IL 60202
Phone
(815) 529-3665

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois