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

LAKESIDE ORAL & IMPLANT SURGERY INSTITUTE, PC

Active Organization

LAKESIDE ORAL & IMPLANT SURGERY INSTITUTE, PC is a Oral and Maxillofacial Surgery Clinic organization located in CHICAGO, Illinois. NPI 1679070189 is currently active in the NPPES registry. Verify at CMS.

Oral and Maxillofacial Surgery Clinic · CHICAGO, IL

Registration Details

NPI Number
1679070189
Provider Type
Organization
NPI Issued
Apr 11, 2018 (8.1602166131692 yrs)
Last Updated
Apr 11, 2018
License
021002718 (IL)

Practice Information

Address
5758 S MARYLAND AVE # 4H
CHICAGO, IL, 606371426
Browse IL providers · Browse ZIP 60637
Phone
7737021865
Fax
7738343888
Primary Specialty
Oral and Maxillofacial Surgery Clinic
261QS0112X

Other Oral and Maxillofacial Surgery Clinic Organizations in CHICAGO, IL

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.