NPI 1316044837

Evaskus and Herzog, LTD

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

Practice location

Address: 2440 W Peterson Ave, Chicago, IL 60659-4113
Phone: (773) 761-7171
Fax: (773) 761-6714

Authorised official

Name: Jennifer Pietri
Title: Insurance Coordinator
Phone: (773) 761-7171

Registered specialties (2)

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Illinois →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 060003037 (IL)

Other Dentist providers in Illinois →

Registry record

NPI: 1316044837
Entity type: Organization
NPI issued: 19 Sep 2006
Record last updated: 9 Dec 2019

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.