Individual
ALENA BUKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3435 W IRVING PARK RD, CHICAGO, IL 60618-3217
(773) 588-8200
Mailing address
1210 S INDIANA AVE APT 1016, CHICAGO, IL 60605-2773
(347) 394-8165
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019031343
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021002878
IL
Other
Enumeration date
11/09/2017
Last updated
11/07/2019
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