Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bianca Maniscalco

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740980077

Bianca Maniscalco is a Student in an Organized Health Care Education/Training Program in Waukegan, Illinois. Works from 2 locations. Licensed in Illinois and Massachusetts.

Licensed in
IL, MA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

2821 Grand Ave
Waukegan, IL 60085-2372
Phone: (847) 662-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 761 Harrison Ave Apt 407, Boston, MA 02118-3478 — (630) 450-6391

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.035496 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 390200000X (MA)

Record details

NPI number1740980077
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address761 Harrison Ave Apt 407, Boston, MA 02118-3478

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