Lakeside Oral & Facial Surgery Institute
Lakeside Oral & Facial Surgery Institute is an Oral and Maxillofacial Surgery Clinic/Center in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
2500 Ridge Ave Ste 302Evanston, IL 60201-2455
Phone: (847) 328-8899
Fax: (847) 563-1350
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery Clinic/Center (primary) | Taxonomy 261QS0112X · Licence 021002718 (IL) |
|---|
Record details
| NPI number | 1205288982 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alan Harvey — Oral & Maxillofacial Surgeon · (847) 328-8899 |
| NPI enumerated | July 6, 2016 |
| Last updated in NPPES | April 19, 2018 |
| Mailing address | 2500 Ridge Ave, Suite 302, Evanston, IL 60201-2455 |
Other providers in Evanston
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Dr. Alan Andreas Harvey, DMD
2500 Ridge Ave Ste 302, Evanston, IL 60201-2477 · (847) 328-8899