NPI 1821652736

Oral and Maxilloficial Head and Neck Associates LLC

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

Practice location

Address: 811 West Wellington Avenue Attention: Mohammed Qaisi, MD., DMD., Chicago, IL 60657-5123
Phone: (847) 676-0091
Fax: (847) 676-2374
Mailing address: PO Box 734471, Chicago, IL 60673-4471

Authorised official

Name: Mohammed Qaisi
Title: Member
Phone: (318) 547-2825

Registered specialties

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

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Registry record

NPI: 1821652736
Entity type: Organization
NPI issued: 25 Apr 2019
Record last updated: 25 Apr 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.