LAKESIDE ORAL & IMPLANT SURGERY INSTITUTE, PC is an oral and maxillofacial surgery clinic center in Chicago, 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 & IMPLANT SURGERY INSTITUTE, PC NPI is 1679070189. The provider is registered as an organization entity type.
The provider's business location address is:
5758 S MARYLAND AVE # 4H
CHICAGO, IL
ZIP 60637-426
Phone: (773) 702-1865
Fax: (773) 834-3888
The provider's authorized official is Alan Harvey .
The authorized official title is Oral & Maxillofacial Surgeon and has the following contact phone number (773) 702-1865.
The enumeration date for this NPI number is 4/11/2018 and was last updated on 4/11/2018.