Individual
RAED ALDELAYME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS
Contact information
Practice address
2005 ROOSEVELT RD STE B, VALPARAISO, IN 46383-2746
(219) 312-7639
Mailing address
4501 S STATE ST, CHICAGO, IL 60609-3758
(773) 548-0600
(339) 161-0118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032011
IL
122300000X
Dentist
Primary
12013939A
IN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
LL848
MD
Other
Enumeration date
04/28/2019
Last updated
09/12/2023
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