Search › Illinois › 104100000X
Dexter Odeneal
NPI 1063060689 · on the registry since 2019
Practice
- Address
- 755 Almar Pkwy Ste A
Bourbonnais, IL 60914 - Phone
- (630) 428-7890
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois