| Dr. Osuji Dental, Pllc | |
|
636 Church St Ste 200w Evanston IL 60201-4578 | |
| (847) 448-1684 | |
| Not Available |
| Full Name | Dr. Osuji Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 636 Church St Ste 200w, Evanston, Illinois |
| Authorized Official Name and Position | Aminat Yewande Osuji (DENTIST/ OWNER) |
| Authorized Official Contact | 7085597259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Osuji Dental, Pllc 644 W 16th St Unit 1 Chicago IL 60616-1179 Ph: (708) 559-7259 | Dr. Osuji Dental, Pllc 636 Church St Ste 200w Evanston IL 60201-4578 Ph: (847) 448-1684 |
| NPI Number | 1679281455 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679281455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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