LAKESIDE ORAL & IMPLANT SURGERY INSTITUTE, PC

NPI # 

Practice Address:

5758 S Maryland Ave # 4H

Chicago, IL, 60637-1426

Practice Phone:

773-702-1865

Practice Fax:

773-834-3888

License Number:

021002718

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Oral and Maxillofacial Surgery

Taxonomy Code:

261QS0112X

Updated by NPPES on 4/11/2018. You can view the original data set for NPI # 1679070189 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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LAKESIDE ORAL & IMPLANT SURGERY INSTITUTE, PC's

CMS CPT® coding data

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LAKESIDE ORAL & IMPLANT SURGERY INSTITUTE, PC's

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