Search › Illinois › 122300000X
Clarissa Couch, DDS
NPI 1447388764 · on the registry since 2007
Practice
- Address
- 10220 S 76th Ave
Suite 250
Bridgeview, IL 60455 - Phone
- (708) 974-6160
- Organisation at this address
- Cook County Adult Probation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223D0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-22
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