Northwestern Oral & Maxillofacial Surgeons PC

NPI #1558643734 in Chicago, Illinois

Provider Information

NPI Number: 1558643734
Entity Type: Organization
Organization Name: Northwestern Oral & Maxillofacial Surgeons PC
Primary Specialty: Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date: Sep 14, 2011
Last Updated: Sep 14, 2011

Practice Location

Address: 201 E HURON ST
Address 2: SUITE 12-100
City: Chicago
State: Illinois
ZIP Code: 60611-3197
Phone: (312) 926-6333

Authorized Official

Name: DR. ALEXIS B OLSSON, DDS
Title: PRESIDENT
Phone: (312) 926-6333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	261QS0112X	Primary

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