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

Highland Park Oms

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1912283730

Highland Park Oms is an Oral and Maxillofacial Surgery (Dentist) in Highland Park, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1893 Sheridan Rd Ste 311
Highland Park, IL 60035-2628
Phone: (847) 433-6636
Fax: (847) 433-2090
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 021002059 (IL)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 019022948 (IL)

Record details

NPI number1912283730
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Jacob — Owner · (847) 433-6636
NPI enumeratedOctober 25, 2011
Last updated in NPPESOctober 25, 2011
Mailing address1893 Sheridan Rd, Suite 311, Highland Park, IL 60035

Other providers in Highland Park