| North Suburban Center For Oral & Facial Surgery | |
|
1240 Meadow Rd Suite 300 Northbrook IL 60062-8300 | |
| (847) 272-9516 | |
| (847) 272-9551 |
| Full Name | North Suburban Center For Oral & Facial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 1240 Meadow Rd, Northbrook, Illinois |
| Authorized Official Name and Position | William L. Nickel (PRESIDENT) |
| Authorized Official Contact | 8472729516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Suburban Center For Oral & Facial Surgery 1240 Meadow Rd Suite 300 Northbrook IL 60062-8300 Ph: (847) 272-9516 | North Suburban Center For Oral & Facial Surgery 1240 Meadow Rd Suite 300 Northbrook IL 60062-8300 Ph: (847) 272-9516 |
| NPI Number | 1063695104 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 12/12/2007 |
| Medicare PECOS PAC ID | 4284710419 |
|---|---|
| Medicare Enrollment ID | O20080327000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063695104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Illinois) | Primary |
| Provider Name | Mark J Steinberg |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1477622801 PECOS PAC ID: 2264463801 Enrollment ID: I20050824000263 |
| Provider Name | William L Nickel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1649283847 PECOS PAC ID: 4981780129 Enrollment ID: I20080327000607 |
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