Chicago Oral Medicine
Chicago Oral Medicine is a Dentist in Orland Park, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
10763 163rd PlOrland Park, IL 60467
Phone: (517) 214-4034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019029193 (IL) |
|---|
Record details
| NPI number | 1891031647 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bassam Issa — Preseident · (517) 214-4034 |
| NPI enumerated | December 26, 2012 |
| Last updated in NPPES | December 26, 2012 |
| Mailing address | 10763 163rd Pl, Orland Park, IL 60467-8861 |
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