Healthcare Provider Details

I. General information

NPI: 1497679062
Provider Name (Legal Business Name): BAKMAN DENTAL GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 SUNSET RIDGE RD
NORTHBROOK IL
60062-4006
US

IV. Provider business mailing address

3119 HUNTINGTON LN
NORTHBROOK IL
60062-5800
US

V. Phone/Fax

Practice location:
  • Phone: 847-272-7874
  • Fax: 847-272-9566
Mailing address:
  • Phone: 847-338-4050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MAYYA BAKMAN
Title or Position: PRESIDENT
Credential: DDS
Phone: 847-338-4050