Individual
KNEISHA ADREAN DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
752 S KOSTNER AVE, CHICAGO, IL 60624-3454
(847) 907-0594
Mailing address
752 S KOSTNER AVE, CHICAGO, IL 60624-3454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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