Healthcare Provider Details

I. General information

NPI: 1699460386
Provider Name (Legal Business Name): MEJDEE YOUNIS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14403 S BELL RD
HOMER GLEN IL
60491-7881
US

IV. Provider business mailing address

13521 COLT DR
HOMER GLEN IL
60491-6639
US

V. Phone/Fax

Practice location:
  • Phone: 708-966-4018
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019.034451
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: