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Individual

ALYSSA BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
111 N WABASH AVE STE 1921, CHICAGO, IL 60602-2970
(312) 332-4424
Mailing address
5001 PROSPECT AVE # 3B, DOWNERS GROVE, IL 60515-3790
(847) 345-6254

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034436
IL

Other

Enumeration date
07/17/2023
Last updated
07/17/2023
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