Organization · Type 2 NPI

Northshore Oral Surgery Center

Oral and Maxillofacial Surgery (Dentist) · Chicago, IL

NPI number 1952095010 Active

Practice location

2300 S Michigan Ave Ste 100
Chicago, IL 60616-2119

Call (773) 255-1128 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): 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 1952095010

Northshore Oral Surgery Center's National Provider Identifier is 1952095010, issued on Jun 2, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Chicago, IL. The record was last updated on Sep 8, 2025.