Raffi Leblebijian
Dentist, General Practice in Bourbonnais, IL. Organization (NPI-2).
NPI number1033085337
StatusActive
Last updated in NPPESOct 14, 2025
Details
- NPI
- 1033085337
- Entity type
- Organization (NPI-2)
- Legal business name
- Raffi Leblebijian
- Organization subpart
- No
- Enumeration date
- Oct 14, 2025
- Certification date
- Oct 14, 2025
- Last updated
- Oct 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
876 N Convent StBourbonnais, IL 60914-1300
Phone 815-933-4121
Mailing address
876 N Convent StBourbonnais, IL 60914-1300
Phone 815-933-4121
Authorized official
Alanna Munari
Front Desk Manager
8152953785
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