| Glenbrook Oral & Maxillofacial Surgery Ltd | |
|
3633 W Lake Ave Suite 100 Glenview IL 60026-5805 | |
| (847) 998-8959 | |
| (847) 998-8791 |
| Full Name | Glenbrook Oral & Maxillofacial Surgery Ltd |
|---|---|
| Speciality | Dentist |
| Location | 3633 W Lake Ave, Glenview, Illinois |
| Authorized Official Name and Position | Jeffery K Bressman (PRESIDENT) |
| Authorized Official Contact | 8479988959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenbrook Oral & Maxillofacial Surgery Ltd 3633 W Lake Ave Suite 100 Glenview IL 60026-5805 Ph: (847) 998-8959 | Glenbrook Oral & Maxillofacial Surgery Ltd 3633 W Lake Ave Suite 100 Glenview IL 60026-5805 Ph: (847) 998-8959 |
| NPI Number | 1306048780 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 11/16/2012 |
| Medicare PECOS PAC ID | 8628024312 |
|---|---|
| Medicare Enrollment ID | O20050325000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306048780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 060-005529 (Illinois) | Primary |
| Provider Name | Jeffery K Bressman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1154345106 PECOS PAC ID: 4981650678 Enrollment ID: I20050328000363 |
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