| Oak Park Oral Surgery, P.c. | |
|
821 S Oak Park Ave Oak Park IL 60304-1217 | |
| (708) 383-8228 | |
| (708) 383-8288 |
| Full Name | Oak Park Oral Surgery, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 821 S Oak Park Ave, Oak Park, Illinois |
| Authorized Official Name and Position | Henry C. Fung (PRESIDENT) |
| Authorized Official Contact | 7083838228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Park Oral Surgery, P.c. 821 S Oak Park Ave Oak Park IL 60304-1217 Ph: (708) 383-8228 | Oak Park Oral Surgery, P.c. 821 S Oak Park Ave Oak Park IL 60304-1217 Ph: (708) 383-8228 |
| NPI Number | 1174750426 |
|---|---|
| Provider Enumeration Date | 06/14/2009 |
| Last Update Date | 06/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174750426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019018956 (Illinois) | Primary |
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