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General NPI Number Information
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NPI Number | 1538053541
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Entity Type | Individual
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Provider Name | CHUKWUMA ONYEKA OKAFOR DMD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 567 W 14TH ST
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City | CHICAGO HEIGHTS
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State | IL
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Zip | 60411-2386
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Country | US
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Telephone | 708-283-9800
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Fax | 708-283-9801
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Provider Business Mailing Address
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Address Line | 4425 175TH PL
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City | COUNTRY CLUB HILLS
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State | IL
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Zip | 60478-4768
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Country | US
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Telephone | 708-921-1857
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.036229
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License Number State | IL
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