Funwal LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025347 Issued in IL

Legal business name

FUNWAL LLC

Practice address

1695 Elk Blvd
Des Plaines, IL 60016-4721

Phone

(847) 727-8484

Fax

(224) 361-3611

NPI assigned

Jul 11, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Olawale Babatunde

Title

Practice Manager

Phone

(847) 827-8484

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1376995688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 ELK BLVD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164721",
            "telephone_number": "847-727-8484",
            "fax_number": "224-361-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 ELK BLVD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164721",
            "telephone_number": "847-727-8484",
            "fax_number": "224-361-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNWAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "BABATUNDE",
        "authorized_official_first_name": "OLAWALE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "847-827-8484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresenius Medical Care Des Plaines, LLC
• Francis Fritz
• Karen Ruth Frye, D.D.S.
• Fta-M
• Fta-M
• Dagmara Furgal
• Sergey Furmanov, MD
• FZ Medical Group Inc
• G & F Consulting Inc
• Purvi Gabhawala, AGNP

• General Practice Dentistry in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.