Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKESIDE ORAL & FACIAL SURGERY INSTITUTE
Active OrganizationLAKESIDE ORAL & FACIAL SURGERY INSTITUTE is a Oral and Maxillofacial Surgery Clinic organization located in EVANSTON, Illinois. NPI 1205288982 is currently active in the NPPES registry. Verify at CMS.
Oral and Maxillofacial Surgery Clinic · EVANSTON, IL
Registration Details
- NPI Number
- 1205288982
- Provider Type
- Organization
- NPI Issued
- Jul 6, 2016 (9.9246032075561 yrs)
- Last Updated
- Apr 19, 2018
- License
-
021002718 (IL)
Practice Information
- Address
-
2500 RIDGE AVESUITE 302EVANSTON, IL, 602012455Browse IL providers · Browse ZIP 60201
- Phone
- 8473288899
- Fax
- 8475631350
- Primary Specialty
-
Oral and Maxillofacial Surgery Clinic
261QS0112X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.