NPI 1073849139

James G. Loeser, DDS, MD, PC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Park Ridge, IL

Practice location

Address: 1580 N Northwest Hwy #300, Park Ridge, IL 60068-1444
Phone: (847) 390-8200
Fax: (847) 390-8200

Authorised official

Name: James G Loeser
Title: Ceo
Phone: (847) 390-8200

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 036121553 (IL)

Other Oral & Maxillofacial Surgery providers in Illinois →

Registry record

NPI: 1073849139
Entity type: Organization
NPI issued: 26 Oct 2009
Record last updated: 26 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.