Kunbi Adefeso PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KUNBI ADEFESO PLLC

Practice address

4012 N. Cicero Ave
Chicago, IL 60641

Phone

(312) 300-7386

NPI assigned

Oct 21, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adekunbi Adefeso, DMDNPI 1639855133

Title

Dentist

Phone

(224) 616-9742

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adekunbi Bakiat Adefeso

  • Dentist
  • Chicago, IL
  • NPI 1639855133
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1629899703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 CHURCH ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 N. CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60641",
            "telephone_number": "312-300-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNBI ADEFESO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "ADEFESO",
        "authorized_official_first_name": "ADEKUNBI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "224-616-9742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Kumor, PHARMD
• Shawn George Kumpuckal
• Priya Uday Kumthekar, MD
• Sylvia K Kunakom, L.AC, MSAOM, MSC
• Eric James Kunath, DDS
• Allen Kuncheria, MD
• Muhammad Nowsherwan Kundi
• Roopal V Kundu, MD
• Shilajit D Kundu, MD
• Mae Jen Kung, PHARMD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.