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

North Suburban Oral and Maxillofacial Surgery Ltd

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1477664332

North Suburban Oral and Maxillofacial Surgery Ltd is an Oral and Maxillofacial Pathology Dentistry in Lake Forest, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 N Westmoreland Rd Ste 208
Lake Forest, IL 60045-1674
Phone: (847) 234-3390
Fax: (847) 234-3391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence 021000537 (IL)

Record details

NPI number1477664332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Martino — President · (847) 234-3390
NPI enumeratedAugust 31, 2006
Last updated in NPPESFebruary 10, 2009
Mailing address900 N Westmoreland Rd, Suite 208, Lake Forest, IL 60045-1674

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