Dr. Osuji Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. OSUJI DENTAL, PLLC

Practice address

636 Church St Ste 200W
Evanston, IL 60201-4578

Phone

(847) 448-1684

NPI assigned

Nov 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Aminat Yewande Osuji, DDSNPI 1578185716

Title

Dentist/ Owner

Phone

(708) 559-7259

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aminat Yewande Osuji, DDS

  • General Practice Dentistry
  • Evanston, IL
  • NPI 1578185716
  NPD Authorized official

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1679281455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 W 16TH ST UNIT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161179",
            "telephone_number": "708-559-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 200W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014578",
            "telephone_number": "847-448-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. OSUJI DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-09",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "OSUJI",
        "authorized_official_first_name": "AMINAT",
        "authorized_official_middle_name": "YEWANDE",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "708-559-7259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.