Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1174661631
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1126, Westgate Street, Downtown, Oak Park, Cook County, Illinois, 60301, United States
OAK PARK, IL 603011008
Phone: (708) 383-8851
Fax: (708) 303-6272
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60301)
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