Individual
ADEWALE OLAILAN LAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4259 S BERKELEY AVE, CHICAGO, IL 60653-3030
(312) 646-6620
(773) 624-5642
Mailing address
7250 S DORCHESTER AVE, CHICAGO, IL 60619-1543
(312) 550-1886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019029027
IL
Other
Enumeration date
07/19/2012
Last updated
10/23/2016
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