LAKESIDE ORAL & FACIAL SURGERY INSTITUTE is an oral and maxillofacial surgery clinic center in Evanston, IL. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. LAKESIDE ORAL & FACIAL SURGERY INSTITUTE NPI is 1205288982. The provider is registered as an organization entity type.
The provider's business location address is:
2500 RIDGE AVE
SUITE 302
EVANSTON, IL
ZIP 60201-455
Phone: (847) 328-8899
Fax: (847) 563-1350
The provider's authorized official is Alan Harvey .
The authorized official title is Oral & Maxillofacial Surgeon and has the following contact phone number (847) 328-8899.
The enumeration date for this NPI number is 7/6/2016 and was last updated on 4/19/2018.