Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC
Active OrganizationFACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC is a Oral and Maxillofacial Surgery Clinic organization located in DUNLAP, Illinois. NPI 1417123076 is currently active in the NPPES registry. Verify at CMS.
Oral and Maxillofacial Surgery Clinic · DUNLAP, IL
Registration Details
- NPI Number
- 1417123076
- Provider Type
- Organization
- NPI Issued
- May 5, 2008 (18.094514445548 yrs)
- Last Updated
- May 5, 2008
- License
-
019025195 (IL)
Practice Information
- Address
-
11825 N KNOXVILLE AVEDUNLAP, IL, 615258842Browse IL providers · Browse ZIP 61525
- Phone
- 3092438980
- Fax
- 3092438983
- 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.