| Oral & Maxillofacial Surgery Of Chicago P.c. | |
|
15300 West Ave Suite 113 Orland Park IL 60462 | |
| (708) 349-4000 | |
| (708) 349-4616 |
| Full Name | Oral & Maxillofacial Surgery Of Chicago P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 15300 West Ave, Orland Park, Illinois |
| Authorized Official Name and Position | Gunjan Jain (MANAGER) |
| Authorized Official Contact | 7084254301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Surgery Of Chicago P.c. 6305 W 95th St Fl 3 Oak Lawn IL 60453-2255 Ph: (708) 425-4301 | Oral & Maxillofacial Surgery Of Chicago P.c. 15300 West Ave Suite 113 Orland Park IL 60462 Ph: (708) 349-4000 |
| NPI Number | 1669620902 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669620902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019027447 (Illinois) | Primary |
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