Individual
ADEKUNBI BAKIAT ADEFESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4008 N CICERO AVE, CHICAGO, IL 60641-1807
(312) 300-7386
Mailing address
3347 CHURCH ST, EVANSTON, IL 60203-1722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019034679
IL
Other
Enumeration date
06/27/2023
Last updated
12/10/2024
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