institution
Lakeside Oral & Implant Surgery Institute, Pc
Oral and Maxillofacial Surgery Clinic/Center in Chicago, Illinois
NPI 1679070189

Lakeside Oral & Implant Surgery Institute, Pc is a Oral and Maxillofacial Surgery Clinic/Center based in Chicago, IL and is specialized in Oral and Maxillofacial Surgery. Lakeside Oral & Implant Surgery Institute, Pc practices in Chicago, IL. The NPI Number for Lakeside Oral & Implant Surgery Institute, Pc is 1679070189 and holds a License No. 021002718 (Illinois).

The current practice location address for Lakeside Oral & Implant Surgery Institute, Pc is 5758 S Maryland Ave # 4H, Chicago, IL and can be reached out via phone at 773-702-1865 and via fax at 773-834-3888.

Location: 5758 S Maryland Ave # 4H, Chicago, IL, 60637-1443
institution
Provider Profile Details
NPI Number
1679070189
Provider Name
Lakeside Oral & Implant Surgery Institute, Pc
Credential
Provider Entity Type
Organization
Address
5758 S Maryland Ave # 4H, Chicago, IL, 60637-1443
Phone Number
773-702-1865
Fax Number
773-834-3888
Provider Enumeration Date
04/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5758 S Maryland Ave # 4H
City
State
Zip
60637-1426
Phone Number
773-702-1865
Fax Number
773-834-3888
person
Provider Business Mailing Address Details
Address
5758 S Maryland Ave # 4H
City
State
Zip
60637-1426
Phone Number
773-702-1865
Fax Number
773-834-3888
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
021002718 (Illinois)
Definition
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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