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Active NPI 1184008542 Individual Practitioner Male Practitioner

Dr. Samuel Osobu , DMD

Dentist - General Practice • Bourbonnais, IL

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Osobu, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bourbonnais, IL. Practice services are available at 2034 N STATE ROUTE 50 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2034 N State Route 50

Bourbonnais, IL 609144410

Telephone 8159290222
Associated Practice Facility / Clinic
🏢 Bradley Dental, Llc Facility NPI 1295906584

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bourbonnais, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
13 Specialists

Practicing in Bourbonnais, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019030498

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Ashmeet Kaur Bhatti

Dentist - General Practice

NPI 1174357529
Dr. Dina Rashid , DMD

Dentist - General Practice

NPI 1184077844

Doctor of Dental Medicine

NPI 1679293211
Dr. Tiberiu Oancea , DDS

Dentist - General Practice

NPI 1780874321

Doctor of Dental Surgery

Dr. Nastaran Agheli , DDS, MS

Dentist - General Practice

NPI 1821878786

Doctor of Dental Surgery, Master of Science

NPI 1982083655

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2016

Registered at 2034 N STATE ROUTE 50, BOURBONNAIS, IL 609144410 (Tel: 8159290222)

📍
Updated Business Mailing Address January 07, 2016

Registered at 350 N CLARK ST FL 6, CHICAGO, IL 606544712

👤
Provider Name / Credentials Updated January 07, 2016

Recorded as SAMUEL OSOBU, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2016

Dentist (License #019030498 in IL)

🟢
Initial NPI Registration & Enumeration July 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184008542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2015
Last Update: January 07, 2016
Sole Proprietor: No

Mailing Address

350 N Clark St Fl 6

Chicago, IL 606544712

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.