Lakeside Oral & Implant Surgery Institute, Pc
LBN: Lakeside Oral & Implant Surgery Institute, Pc
Lakeside Oral & Implant Surgery Institute, Pc is an health care organization with primary practice located at 5758 S Maryland Ave # 4H , Chicago IL 60637-1426. 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 & Implant Surgery Institute, Pc can be contacted via phone (773) 702-1865, or through Harvey, Alan via phone (773) 702-1865.
Contact Information
Primary practice address
5758 S Maryland Ave # 4H
Chicago IL 60637-1426
Phone: (773) 702-1865
Fax: (773) 834-3888
Website:
Authorized official contact:
Name: Harvey, Alan Doctor of Dental Medicine (DMD)
Phone: (773) 702-1865
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X | 021002718 | Illinois |
Profile Details
NPI number | 1679070189 |
---|---|
LBN Legal business name | Lakeside Oral & Implant Surgery Institute, Pc |
DBA Doing business as | |
Authorized official | Harvey, Alan Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 11th, 2018 |
Last updated | Apr 11th, 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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