Healthcare Provider Details

I. General information

NPI: 1689849291
Provider Name (Legal Business Name): SEUNG EUN BAIK, D.D.S., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2008
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 N MILWAUKEE AVE STE 2-30A
NILES IL
60714-3183
US

IV. Provider business mailing address

9101 N GREENWOOD AVE SUITE #202
NILES IL
60714-1499
US

V. Phone/Fax

Practice location:
  • Phone: 847-296-9100
  • Fax: 847-296-9101
Mailing address:
  • Phone: 847-296-9100
  • Fax: 847-296-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019026254
License Number StateIL

VIII. Authorized Official

Name: DR. SEUNG EUN BAIK
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 847-296-9100