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Individual

DR. ALABA ADELAKUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1658 W BELMONT AVE # CE, CHICAGO, IL 60657-3069
(773) 649-5200
(773) 649-5201
Mailing address
1658 W BELMONT AVE # CE, CHICAGO, IL 60657-3069
(773) 649-5200
(773) 649-5201

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-027984
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019-027984
STATE LICENSE NUMBER
IL
Enumeration date
08/07/2009
Last updated
12/12/2022
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