NPI 1306063631

Steven Herzog, DDSMS

Practitioner 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

Registered specialties (2)

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 019-016111 (IL)

Other Oral & Maxillofacial Surgery providers in Illinois →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 019-016111 (IL)

Other Dentist providers in Illinois →

Registry record

NPI: 1306063631
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2007
Record last updated: 16 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.