CHICAGO ORAL MEDICINE

ORLAND PARK, IL
NPI1891031647
Entity TypeOrganization
Authorized ContactBASSAM ALI ISSA
Preseident
517-214-4034
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IL  019029193)
Enumeration Date2012-12-26
Last Update Date2012-12-26
Business Address
CHICAGO ORAL MEDICINE
10763 163RD PLACE
ORLAND PARK, IL 60467
Phone number: 517-214-4034
Mailing Address
CHICAGO ORAL MEDICINE
10763 163RD PL
ORLAND PARK, IL 60467-8861
Phone number: 517-214-4034