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Carissa Bayno

NPI 1598406407 · on the registry since 2022 · sole proprietor

Practice

Address
405 W Torrance Ave Apt 4
Pontiac, IL 61764
Phone
(646) 858-8334

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-04-06

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