Oral and Maxillo Facial Surgeons for Northern Illinois

NPI #1851583603 in Sycamore, Illinois

Provider Information

NPI Number
1851583603
Entity Type
Organization
Organization Name
Oral and Maxillo Facial Surgeons for Northern Illinois
Primary Specialty
Oral & Maxillofacial Surgery
Enumeration Date
Aug 15, 2007
Last Updated
Jul 19, 2019

Practice Location

Address
1675 BETHANY RD
Address 2
SUITE A
ZIP Code
60178
Phone
(815) 895-3000

Authorized Official

Name
TODD M ANDERSON, DDS
Title
PRESIDENT
Phone
(815) 595-3000

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery

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