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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC

Active Organization

PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC is a Periodontology organization located in CHICAGO, Illinois. NPI 1386098390 is currently active in the NPPES registry. Verify at CMS.

Periodontology · CHICAGO, IL

Registration Details

NPI Number
1386098390
Provider Type
Organization
NPI Issued
Apr 15, 2016 (10.369962097384 yrs)
Last Updated
Dec 23, 2016
Licenses
021002676 (IL)
021002351 (IL)
021001938 (IL)

Practice Information

Address
1009 W WEBSTER AVE
CHICAGO, IL, 606143502
Browse IL providers · Browse ZIP 60614
Phone
6306273930
Primary Specialty
Periodontology
1223P0300X
Additional Specialty
Periodontology
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Periodontology
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.