ANTIOCH ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC NPI 1427478429

NPI Information

ANTIOCH ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC is an oral and maxillofacial surgery dentist in Antioch, IL. The provider is the specialty of dentistry which includes 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. ANTIOCH ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC NPI is 1427478429. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dr. Choukas.

The provider's business location address is:

800 MAIN ST
ANTIOCH, IL
ZIP 60002-542
Phone: (847) 395-7955
Fax: (847) 395-7956

The provider's authorized official is Chris Nicholas Choukas .
The authorized official title is President and has the following contact phone number (847) 395-7955.

The enumeration date for this NPI number is 4/17/2014 and was last updated on 4/17/2014.

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:

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