Individual
DR. AKANKSHA SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BDS, MSC, MDSC
Contact information
Practice address
811 S PAULINA ST, CHICAGO, IL 60612-4353
(312) 996-9158
Mailing address
811 S PAULINA ST, CHICAGO, IL 60612-4353
(312) 996-7546
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
019.033123
IL
1223P0700X
Prosthodontics
34819
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019033123
IL
Other
Enumeration date
07/21/2015
Last updated
01/10/2023
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