North Suburban Oral Surgery, Ltd in Northbrook - Oral And Maxillofacial Surgery

North Suburban Oral Surgery, Ltd - NPI 1063695104

North Suburban Oral Surgery, Ltd is a Oral And Maxillofacial Surgery in Northbrook, Illinois. North Suburban Oral Surgery, Ltd practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for North Suburban Oral Surgery, Ltd is 1063695104. The last update date is 2007-12-12.

North Suburban Oral Surgery, Ltd's current location address is 1240 Meadow Rd, Northbrook, Illinois. You can contact this provider via phone number 8472729516 and fax number 8472729551. The mailing address for North Suburban Oral Surgery, Ltd is 1240 Meadow Rd, Northbrook, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization North Suburban Oral Surgery, Ltd
Address 1240 Meadow Rd, Northbrook, Illinois
Phone Number 8472729516
Fax Number 8472729551
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Nickel L. William
Credentials DDS
Telephone Number 8472729516

NPI Number Detail

NPI Number 1063695104
Provider Enumeration Date 2007-12-12
Last Updated Date 2007-12-12

Provider Mailing Address Detail

Address 1240 Meadow Rd
City Northbrook
State Illinois (IL)
Post Code 600628300
Phone Number 8472729516
Fax Number 8472729551

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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FAQs about North Suburban Oral Surgery, Ltd

What is the unique 10-digit identifier code assigned to North Suburban Oral Surgery, Ltd by the Centers for Medicare & Medicaid Services?

The North Suburban Oral Surgery, Ltd has been issued the NPI (National Provider Identifier) 1063695104 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of North Suburban Oral Surgery, Ltd?

The North Suburban Oral Surgery, Ltd is physically situated at 1240 Meadow Rd, in the city of Northbrook, state of IL, with the postal code 600628300.

What is the area of specialization for North Suburban Oral Surgery, Ltd, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for North Suburban Oral Surgery, Ltd is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.

When did North Suburban Oral Surgery, Ltd receive its 1063695104 assignment?

The North Suburban Oral Surgery, Ltd was assigned its 1063695104 on 2007-12-12, which is the date when this unique identifier was issued to the organization.

When was the information regarding North Suburban Oral Surgery, Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to North Suburban Oral Surgery, Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-12.

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