Organization
DR. ODIN WAITE, P.C.
Active
Other names
Elgin Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE WAITE (OFFICE MANAGER)
(847) 697-6868
Entity
Organization
Contact information
Practice address
1425 N MCLEAN BLVD STE 200, ELGIN, IL 60123
(847) 697-6868
Mailing address
1425 N MCLEAN BLVD STE 200, ELGIN, IL 60123-5702
(847) 697-6868
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021.002844
IL
Other
Enumeration date
02/28/2018
Last updated
04/16/2019
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