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

Northshore Oral Surgery Center

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1952095010

Northshore Oral Surgery Center is an Oral and Maxillofacial Surgery (Dentist) in Chicago, Illinois. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2300 S Michigan Ave Ste 100
Chicago, IL 60616-2119
Phone: (773) 255-1128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1952095010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Guthrie — President · (773) 255-1128
Other names Genesis Oral Surgery And Implant Center; Genesis Oral Surgery And Implant Center
NPI enumeratedJune 2, 2023
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address2300 S Michigan Ave Ste 100, Chicago, IL 60616-2119

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