| Highland Park Oral Maxillofacial Surgery | |
|
1770 First St. 350 Highland Park IL 60035-3200 | |
| (847) 433-1516 | |
| (847) 433-1548 |
| Full Name | Highland Park Oral Maxillofacial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 1770 First St., Highland Park, Illinois |
| Authorized Official Name and Position | Nathan Alan Braverman (PRESIDENT/OWNER) |
| Authorized Official Contact | 8474331516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Park Oral Maxillofacial Surgery 1770 1st St Suite 350 Highland Park IL 60035-3200 Ph: (847) 433-1516 | Highland Park Oral Maxillofacial Surgery 1770 First St. 350 Highland Park IL 60035-3200 Ph: (847) 433-1516 |
| NPI Number | 1861647588 |
|---|---|
| Provider Enumeration Date | 11/21/2008 |
| Last Update Date | 11/21/2008 |
| Medicare PECOS PAC ID | 8224286687 |
|---|---|
| Medicare Enrollment ID | O20120911000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861647588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019023544 (Illinois) | Primary |
| Provider Name | Nathan A Braverman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1205945425 PECOS PAC ID: 7719135177 Enrollment ID: I20120911000774 |
Joan P Goldstein D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 Deerfield Rd, Highland Park, IL 60035 Phone: 312-945-9563 | |
Highland Park Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Central Ave Ste 250, Highland Park, IL 60035 Phone: 847-433-5155 | |
Kelsey & Jo Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 Skokie Valley Rd, Suite # 222, Highland Park, IL 60035 Phone: 847-831-1100 | |
S Pope Dds & R Hurwich Dds P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 Skokie Valley Rd Ste 222, Highland Park, IL 60035 Phone: 219-718-0615 | |
Smile Group Highland Park, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 806 Central Ave Ste 201, Highland Park, IL 60035 Phone: 847-432-4131 | |
Lloyd Sigman, Dds, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1770 1st St, Suite 410, Highland Park, IL 60035 Phone: 847-432-5520 | |
Dr Brian M Weinerg Dmd Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1770 1st St Ste 410, Highland Park, IL 60035 Phone: 847-432-5520 |