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

Chicago Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1366599748

Chicago Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery (Dentist) in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

676 N St Clair St Ste 2280
Chicago, IL 60611-3197
Phone: (312) 926-2929
Fax: (312) 926-3595
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 · Licence 21-001074 (IL)

Record details

NPI number1366599748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neil Hagen — Owner · (312) 926-2929
NPI enumeratedJanuary 5, 2007
Last updated in NPPESMay 11, 2009
Mailing address676 N St. Clair Street, Suite 2280, Chicago, IL 60611-3197

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