| Funwal LLC | |
|
1695 Elk Blvd Des Plaines IL 60016-4721 | |
| (847) 727-8484 | |
| (224) 361-3611 |
| Full Name | Funwal LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1695 Elk Blvd, Des Plaines, Illinois |
| Authorized Official Name and Position | Olawale Babatunde (PRACTICE MANAGER) |
| Authorized Official Contact | 8478278484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Funwal LLC 1695 Elk Blvd Des Plaines IL 60016-4721 Ph: (847) 727-8484 | Funwal LLC 1695 Elk Blvd Des Plaines IL 60016-4721 Ph: (847) 727-8484 |
| NPI Number | 1376995688 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 07/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376995688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025347 (Illinois) | Primary |
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