SearchIllinois122300000X

Mary Di Lisio, DMD

NPI 1710504097 · on the registry since 2020

Practice

Address
618 Saint Louis St
Edwardsville, IL 62025
Phone
(618) 656-7111
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-02

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