| NPI | 1063695104 |
|---|---|
| Doing Business As | NORTH SUBURBAN CENTER FOR ORAL & FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM L. NICKEL President 847-272-9516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019019262) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |