Individual
DR. BENAS JAKUBAUSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11613 MAIN ST, HUNTLEY, IL 60142-6956
(847) 515-2400
Mailing address
79 RETREAT AVE # 6, HARTFORD, CT 06106-2527
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034161
IL
122300000X
Dentist
13432
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2022
Last updated
01/22/2024
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