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

Oral & Maxillofacial

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1730898933

Oral & Maxillofacial is an Oral and Maxillofacial Surgery (Dentist) in Chicago, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

25 E Washington St Ste 825
Chicago, IL 60602-1722
Phone: (773) 296-7645
Fax: (773) 295-1023
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
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X

Record details

NPI number1730898933
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammed Qaisi — Owner · (773) 296-7645
NPI enumeratedNovember 16, 2022
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022
Mailing address25 E Washington St Ste 825, Chicago, IL 60602-1722

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