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HPOMS NPI 1588070148


NPI Information

NPI: 1588070148
Provider Name: HPOMS
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1893 SHERIDAN RD SUITE 311
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 433-6636
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HPOMS is an oral and maxillofacial surgery clinic center in Highland Park, IL. The provider is an oral and maxillofacial surgery clinic or center 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. HPOMS NPI is 1588070148. The provider is registered as an organization entity type.

The provider's business location address is:

1893 SHERIDAN RD SUITE 311
HIGHLAND PARK, IL
ZIP 60035
Phone: (847) 433-6636
Fax: (847) 433-2090

The provider's authorized official is Mark B Jacob .
The authorized official title is Owner and has the following contact phone number (847) 433-6636.

The enumeration date for this NPI number is 7/3/2014 and was last updated on 7/3/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental019.022948ILLINOISNo
2261QS0112XClinic/CenterOral and Maxillofacial Surgery021.002059ILLINOISYes

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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