ORAL AND MAXILLOFICIAL HEAD AND NECK ASSOCIATES LLC (NPI# 1821652736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821652736 |
| Entity Type | Organization |
| Organization Name | ORAL AND MAXILLOFICIAL HEAD AND NECK ASSOCIATES LLC |
| Practice Address |
811 West Wellington Avenue Attention: Mohammed Qaisi, Md., Dmd. Chicago IL 60657-5123 |
| Mailing Address |
Po Box 734471 Chicago IL 60673-4471 |
| Practice Telephone | 8476760091 |
| Practice Fax Number | 8476762374 |
| Mailing Telephone | 8476760091 |
| Mailing Fax Number | 8476762374 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | DR. MOHAMMED QAISI (MEMBER) |
| Authorized Official Telephone | 3185472825 |
| Authorized Official Credential | MD DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| OMHNA | Doing Business As Name - Organization |
| Street Address |
811 WEST WELLINGTON AVENUE ATTENTION: MOHAMMED QAISI, MD., DMD. |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295840304 | Khaled Abughazaleh | Oral & Maxillofacial Surgery | 65 E Scott St Apt 9a, Chicago, IL 60610-5274 | 2006-08-20 |
| 1518528165 | Ali Al-qudsi | Oral & Maxillofacial Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2019-06-25 |
| 1669033445 | Brett Quinto | Oral & Maxillofacial Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2019-06-24 |
| 1508144585 | James Anthony Murphy | Oral & Maxillofacial Surgery | 1969 W Ogden Ave, Chicago, IL 60612-3765 | 2011-07-25 |
| 1326338948 | Michael David Han | Oral & Maxillofacial Surgery | 801 S Paulina St, Room 110 (mc 835), Chicago, IL 60612-7210 | 2011-04-15 |
| 1881821445 | Board of Trustees of The University of Illinois | Oral & Maxillofacial Surgery | 840 S Wood St, Mc 958, Chicago, IL 60612-4325 | 2009-06-22 |
| 1225291347 | Michael Robert Markiewicz | Oral & Maxillofacial Surgery | 801 S Paulina St, Chicago, IL 60612-7210 | 2008-07-09 |
| 1992883367 | Gregory Paul Thomas | Oral & Maxillofacial Surgery | 676 N Saint Clair St, Suite 2280, Chicago, IL 60611-2927 | 2006-11-01 |
| 1659486751 | Mark B Jacob | Oral & Maxillofacial Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-08-20 |
| 1942244645 | The Board of Trustees of The University of Illinois | Oral & Maxillofacial Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2006-06-15 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.