Individual
DR. BENJAMIN CHARLES YOUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029452
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2013
Last updated
07/08/2015
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