Chicago Oral & Maxillofacial Surgery

LBN: Chicago Oral & Maxillofacial Surgery
Chicago Oral & Maxillofacial Surgery is an health care organization with primary practice located at 676 N St. Clair Street Suite 2280, Chicago IL 60611-3197. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Chicago Oral & Maxillofacial Surgery can be contacted via phone (312) 926-2929, or through Hagen, Neil Bruce via phone (312) 926-2929.

Contact Information

Primary practice address
676 N St. Clair Street Suite 2280 Chicago IL 60611-3197
Phone: (312) 926-2929
Fax: (312) 926-3595
Website:
Map and Directions
Authorized official contact:
Name: Hagen, Neil Bruce Doctor of Dental Surgery (DDS)
Phone: (312) 926-2929

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 21-001074 Illinois

Profile Details

NPI number 1366599748
LBN Legal business name Chicago Oral & Maxillofacial Surgery
DBA Doing business as
Authorized official Hagen, Neil Bruce Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated May 11th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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