CHICAGO ORAL & MAXILLOFACIAL 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. CHICAGO ORAL & MAXILLOFACIAL SURGERY NPI is 1366599748. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
676 N ST. CLAIR STREET
SUITE 2280
CHICAGO, IL
ZIP 60611-197
Phone: (312) 926-2929
Fax: (312) 926-3595
The provider's authorized official is Neil Bruce Hagen .
The authorized official title is Owner and has the following contact phone number (312) 926-2929.
The enumeration date for this NPI number is 1/5/2007 and was last updated on 5/11/2009.