Individual
ALIYAH IMANI WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
28 MADISON ST, OAK PARK, IL 60302-4230
(708) 848-0528
Mailing address
218 E GRAND AVE APT 1912, CHICAGO, IL 60611-3713
(314) 315-3599
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
021003479
IL
Other
Enumeration date
06/14/2023
Last updated
09/16/2025
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