Organization
FUNWAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLAWALE BABATUNDE (PRACTICE MANAGER)
(847) 827-8484
Entity
Organization
Contact information
Practice address
1695 ELK BLVD, DES PLAINES, IL 60016-4721
(847) 727-8484
(224) 361-3611
Mailing address
1695 ELK BLVD, DES PLAINES, IL 60016-4721
(847) 727-8484
(224) 361-3611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019025347
IL
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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