Individual
DR. MICHELLE ANN RADEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1006 W LAKE ST UNIT 2, CHICAGO, IL 60607-1715
(773) 771-0711
Mailing address
2528 W IOWA ST, CHICAGO, IL 60622-4502
(773) 771-0711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-025071
IL
Other
Enumeration date
07/23/2006
Last updated
12/07/2018
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