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EVASKUS AND HERZOG LTD NPI 1316044837


NPI Information

NPI: 1316044837
Provider Name: EVASKUS AND HERZOG, LTD

Doing Business As: ORAL SURGERY ASSOCIATES

Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
2440 W PETERSON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 761-7171
Get Directions

EVASKUS AND HERZOG, LTD is an oral maxillofacial surgery in Chicago, IL. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. EVASKUS AND HERZOG, LTD NPI is 1316044837. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Oral Surgery Associates.

The provider's business location address is:

2440 W PETERSON AVE
CHICAGO, IL
ZIP 60659-113
Phone: (773) 761-7171
Fax: (773) 761-6714

The provider's authorized official is Jennifer Pietri .
The authorized official title is Insurance Coordinator and has the following contact phone number (773) 761-7171.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 12/9/2019.


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 Surgery060003037ILLINOISNo
2204E00000XOral & Maxillofacial SurgeryYes

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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