Lakeside Oral & Facial Surgery Institute

LBN: Lakeside Oral & Facial Surgery Institute
Lakeside Oral & Facial Surgery Institute is an health care organization with primary practice located at 2500 Ridge Ave Suite 302, Evanston IL 60201-2455. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Lakeside Oral & Facial Surgery Institute can be contacted via phone (847) 328-8899, or through Harvey, Alan via phone (847) 328-8899.

Contact Information

Primary practice address
2500 Ridge Ave Suite 302 Evanston IL 60201-2455
Phone: (847) 328-8899
Fax: (847) 563-1350
Website:
Map and Directions
Authorized official contact:
Name: Harvey, Alan Doctor of Dental Medicine (DMD)
Phone: (847) 328-8899

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X 021002718 Illinois

Profile Details

NPI number 1205288982
LBN Legal business name Lakeside Oral & Facial Surgery Institute
DBA Doing business as
Authorized official Harvey, Alan Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2016
Last updated Apr 19th, 2018 - about 6 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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