GLENBROOK ORAL & MAXILLOFACIAL SURGERY LTD NPI 1306048780

NPI Information

GLENBROOK ORAL & MAXILLOFACIAL SURGERY LTD is an oral and maxillofacial surgery dentist in Glenview, 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. GLENBROOK ORAL & MAXILLOFACIAL SURGERY LTD NPI is 1306048780. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3633 W LAKE AVE
SUITE 100
GLENVIEW, IL
ZIP 60026-805
Phone: (847) 998-8959
Fax: (847) 998-8791

The provider's authorized official is Jeffery K Bressman .
The authorized official title is President and has the following contact phone number (847) 998-8959.

The CLIA number assigned to this NPI record is 14D2193301 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 11/16/2012.

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:

Other Identifiers

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