Organization · Type 2 NPI

Rush Presbyterian-St Lukes Med CTR

Oral and Maxillofacial Surgery Clinic/Center · Chicago, IL

NPI number 1609956903 Active

Practice location

1725 W Harrison St, Suite 425, Pob 1
Chicago, IL 60612-3841

Call (312) 563-3000 Map

Fax (312) 563-2514

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XNone listed

Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1609956903

Rush Presbyterian-St Lukes Med CTR's National Provider Identifier is 1609956903, issued on Oct 17, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Chicago, IL. The record was last updated on Oct 18, 2010.