Individual
DR. LAILA MALAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-3202
Mailing address
2158 183RD ST, HOMEWOOD, IL 60430-3238
(630) 864-0200
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.031718
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
019-031718
IL
Other
Enumeration date
07/14/2018
Last updated
01/15/2025
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