Chicago Oral Medicine

LBN: Chicago Oral Medicine
Chicago Oral Medicine is an health care organization with primary practice located at 10763 163Rd Place , Orland Park IL 60467. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Chicago Oral Medicine can be contacted via phone (517) 214-4034, or through Issa, Bassam Ali via phone (517) 214-4034.

Contact Information

Primary practice address
10763 163Rd Place Orland Park IL 60467
Phone: (517) 214-4034
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Issa, Bassam Ali Doctor of Dental Surgery (DDS)
Phone: (517) 214-4034

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019029193 Illinois

Profile Details

NPI number 1891031647
LBN Legal business name Chicago Oral Medicine
DBA Doing business as
Authorized official Issa, Bassam Ali Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2012
Last updated Dec 26th, 2012 - about 12 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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