| Doctor Name: | YAA NOEL OWUSU |
| NPI Number: | 1124331731 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.M.D |
| License Number: | 021002613 |
| Business Practice Address: | 519 N Cass Ave Suite 401 Westmont, IL - 605591514 |
| Business Phone Number: | 6302967734 |
| Business Fax Number: | |
| Mailing Address: | 4246 W Thomas St, CHICAGO |
| State: | IL |
| Postal Code: | 606513511 |
| Phone Number: | 7732903500 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2010 |
| NPI Last Update Date: | 04/21/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | 021002613 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |