Lakeside Oral & Implant Surgery Institute, PC
Lakeside Oral & Implant Surgery Institute, PC is an Oral and Maxillofacial Surgery Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5758 S Maryland Ave # 4HChicago, IL 60637-1426
Phone: (773) 702-1865
Fax: (773) 834-3888
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 | 1679070189 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alan Harvey — Oral & Maxillofacial Surgeon · (773) 702-1865 |
| NPI enumerated | April 11, 2018 |
| Last updated in NPPES | April 11, 2018 |
| Mailing address | 5841 S Maryland Ave # Mc9020, Chicago, IL 60637-1443 |
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