Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1336196047
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
6715, West Archer Avenue, Garfield Ridge, Chicago, Lake Township, Cook County, Illinois, 60638, United States
CHICAGO, IL 606382309
Phone: (773) 229-1100
Fax: (773) 229-1446
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 60638)
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