# DR. ODIN WAITE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elgin Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952803504
- **Authorized official:** JAMIE WAITE (OFFICE MANAGER)
- **Authorized official phone:** (847) 697-6868

## Contact information

- **Practice address:** 1425 N MCLEAN BLVD STE 200, ELGIN, IL 60123
- **Practice address phone:** (847) 697-6868
- **Mailing address:** 1425 N MCLEAN BLVD STE 200, ELGIN, IL 60123-5702
- **Mailing address phone:** (847) 697-6868

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021.002844 | IL | Yes |

## Other

- **Enumeration date:** 02/28/2018
- **Last updated:** 04/16/2019