| Southwest Oral Surgeons,p.c. | |
|
6305 W 95th St 3rd Floor Oak Lawn IL 60453-2255 | |
| (708) 425-4300 | |
| (708) 425-4310 |
| Full Name | Southwest Oral Surgeons,p.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 6305 W 95th St, Oak Lawn, Illinois |
| Authorized Official Name and Position | William G. Flick (DOCTOR/OWNER) |
| Authorized Official Contact | 7084254300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Oral Surgeons,p.c. 6305 W 95th St 3rd Floor Oak Lawn IL 60453-2255 Ph: (708) 425-4300 | Southwest Oral Surgeons,p.c. 6305 W 95th St 3rd Floor Oak Lawn IL 60453-2255 Ph: (708) 425-4300 |
| NPI Number | 1215123187 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 09/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215123187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (Illinois) | Primary |
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