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LINCOLN PARK ORAL & COSMETIC SURGERY NPI 1225258957


NPI Information

NPI: 1225258957
Provider Name: LINCOLN PARK ORAL & COSMETIC SURGERY

Doing Business As: LINCOLN PARK INSTITUTE

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2449 N LINCOLN AVE
CHICAGO, IL
ZIP 60614
Phone: (773) 327-2400
Get Directions

LINCOLN PARK ORAL & COSMETIC SURGERY is an oral and maxillofacial surgery dentist in Chicago, IL. The provider is an oral and maxillofacial surgery dentist 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. LINCOLN PARK ORAL & COSMETIC SURGERY NPI is 1225258957. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lincoln Park Institute.

The provider's business location address is:

2449 N LINCOLN AVE
CHICAGO, IL
ZIP 60614-414
Phone: (773) 327-2400
Fax: (773) 327-4759

The provider's authorized official is Marvin Greene .
The authorized official title is President and has the following contact phone number (773) 327-2400.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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