North Suburban Oral And Maxillofacial Surgery Ltd

NPI 1477664332 - Dentist - 1223P0106X

NPI Details
NPI 1477664332
Enumeration Date 08/31/2006
Last Updated 02/10/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICHARD P. RICHARD
Position PRESIDENT
Phone (847) 234-3390
Fax (847) 234-3391
Practice Location
900 N WESTMORELAND RD
SUITE 208
LAKE FOREST IL, 60045-1674, US
Phone (847) 234-3390
Fax (847) 234-3391
Business Location
900 N WESTMORELAND RD
SUITE 208
LAKE FOREST IL, 60045-1674, US
Phone (847) 234-3390
Fax (847) 234-3391
Toxanomy
Taxonomy Code 1223P0106X
License State Illinois
License Number 021000537
Remove 1477664332 NPI Number
 

According to our database, North Suburban Oral And Maxillofacial Surgery Ltd NPI is 1477664332, taxonomy code is 1223P0106X and license number is 021000537, license state is located at Illinois. North Suburban Oral And Maxillofacial Surgery Ltd physically located at 900 N Westmoreland Rd, Lake Forest IL, 60045-1674. NPI Number 1033115704 has the healthcare provider type.

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1477664332 NPI number is provided on an as is basis without warranty of any kind. 1477664332 is maintained by the National Plan & Provider Enumeration System. The contents of North Suburban Oral And Maxillofacial Surgery Ltd are for informational purposes only.