OLUBANWO ABEJIDE


Address: 1106 Neal Ave, Joliet, IL 60433-2548
Phone: 8157747300

OLUBANWO ABEJIDE (NPI# 1366892309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366892309
Entity Type Individual
Full Name OLUBANWO ABEJIDE
Credential DMD
Practice Address 1106 Neal Ave
Joliet
IL 60433-2548
Mailing Address 2248 Cheshire Dr
Aurora
IL 60502-6937
Practice Telephone 8157747300
Mailing Telephone 7732735072
Enumeration Date 2016-06-21
Last Update Date 2020-02-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019030739 IL Dental Providers

Office Location

Street Address 1106 NEAL AVE
City JOLIET
State IL
Zip Code 60433-2548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770540585 Howard William Ehrman Family Medicine 1106 Neal Ave, Will County Community Health Center, Joliet, IL 60433-2548 2006-04-26
1790390797 Amanda J Lemay Nurse Practitioner 1106 Neal Ave, Joliet, IL 60433-2548 2020-09-15
1891256517 Marisa Ruiz Nurse Practitioner 1106 Neal Ave, Joliet, IL 60433-2548 2019-03-26
1649748229 Will County Community Health Center Case Management 1106 Neal Ave, Joliet, IL 60433-2548 2018-11-13
1962952283 Basinger's Pharmacy, Inc Pharmacy 1106 Neal Ave, Joliet, IL 60433-2548 2016-10-11
1306298096 Janel Draxler Registered Nurse 1106 Neal Ave, Joliet, IL 60433-2548 2016-07-06
1689028953 Anusha Khapekar Pediatrics 1106 Neal Ave, Joliet, IL 60433-2548 2016-04-22
1487050654 Pranjali Vadgaonkar Obstetrics & Gynecology 1106 Neal Ave, Joliet, IL 60433-2548 2014-11-14
1396146833 Danish Hangora Psychiatry & Neurology 1106 Neal Ave, Joliet, IL 60433-2548 2014-09-15
1659689271 Sonal K Gandhi Dentist 1106 Neal Ave, Joliet, IL 60433-2548 2010-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710105978 Aparna Gottumukkula Dentist 1106 Neal Avenue, Joliet, IL 60433 2007-04-23
1932114758 County of Will Clinic/Center 501 Ella Ave, Joliet, IL 60433 2006-07-30
1346481082 Will County Health Dept Clinic/Center 501 Ella Ave, Joliet, IL 60433 2009-03-10
1588819544 Will County Health Department Clinic/Center 501 Ella Ave, Joliet, IL 60433 2008-11-18
1982176285 Anita Lomax Assistant Behavior Analyst 206 E Washington St Apt A, Joliet, IL 60433-1006 2018-12-26
1447723275 Aba Everyday LLC Community/Behavioral Health 206 E Washington St Apt A, Joliet, IL 60433-1006 2019-01-03
1245366483 Morningstar Counseling Counselor 350 E Washington St, Joliet, IL 60433-1150 2007-02-24
1053911479 Demitrius Brackett Clinic/Center 350 E Washington St, Joliet, IL 60433-1150 2020-10-26
1326541566 Ready To Go LLC Non-emergency Medical Transport (VAN) 119 Logan Ave, Joliet, IL 60433-1262 2018-03-14
1215223755 Kodo Pharmacy Inc Durable Medical Equipment & Medical Supplies 1522 E Washington St, Joliet, IL 60433-1365 2011-06-23
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437796018 Everyone's Family Dental Normal LLC Dentist 2410 W Jefferson St # 108, Joliet, IL 60435-6449 2019-12-03
1285138776 Smile League Dental Dentist 3587 Hennepin Dr # D, Joliet, IL 60431-9205 2018-03-20
1083134035 Krupa M Patel Dentist 832 Plainfield Rd, Joliet, IL 60435-4643 2017-06-21
1295255487 Morolayo Oluyemi Dentist 3587 Hennepin Dr Ste D, Joliet, IL 60431-9205 2017-06-20
1083065635 Laura Shim Dentist 692 Essington Rd Unit A, Joliet, IL 60435-4903 2016-06-24
1679904171 Kalpana T. Shah, Dmd, PC Dentist 1000 W Jefferson St, 101, Joliet, IL 60435-6812 2013-12-09
1184973869 R A Lombardi Dds PC Dentist 3011 Theodore St., Joliet, IL 60435 2012-09-10
1548571086 Nicole L Graves Dentist 1001 Neufairfield Dr, Joliet, IL 60432-0736 2010-06-30
1538491279 Thomas Raymond Kane Dentist 1308 W. Jefferson St., Joliet, IL 60435 2010-02-05
1871728634 Sal Dental, P.C. Dentist 2239 W Jefferson St, Suite #104-105/a-b, Joliet, IL 60435-6303 2009-05-22
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Competitor

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City JOLIET
Zip Code 60433

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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