Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brookfield Oral Surgery, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1225612534

Brookfield Oral Surgery, LLC is an Oral and Maxillofacial Surgery (Dentist) in Brookfield, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9240 Broadway Ave
Brookfield, IL 60513-1252
Phone: (708) 680-7017
Fax: (708) 419-3537
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1225612534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyran Johnson — Owner · (708) 680-7017
Other names Brookfield Oral Surgery
NPI enumeratedMay 12, 2021
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021
Mailing address27 Elmwood Ave, La Grange Park, IL 60526-2032

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