ORAL AND MAXILLOFACIAL SURGERY AFFILIATES LTD. (NPI# 1982822912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982822912 |
Entity Type | Organization |
Organization Name | ORAL AND MAXILLOFACIAL SURGERY AFFILIATES LTD. |
Practice Address |
111 S Washington St. Ste 101 Park Ridge IL 60068-4203 |
Mailing Address |
111 S Washington Ave Ste 101 Park Ridge IL 60068-4203 |
Practice Telephone | 8476964848 |
Practice Fax Number | 8476961609 |
Mailing Telephone | 8476964848 |
Mailing Fax Number | 8476961609 |
Enumeration Date | 2007-04-23 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JOHN MICHAEL SISTO (PRESIDENT) |
Authorized Official Telephone | 8476964848 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
IL | Dental Providers |
Street Address |
111 S WASHINGTON ST. STE 101 |
City | PARK RIDGE |
State | IL |
Zip Code | 60068-4203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
Find all providers in zip 60068 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558582148 | Joel Schwartz | Dentist | 801 S Paulina, Mc 621, Chicago, IL 60612 | 2007-05-01 |
1700920113 | Ordie H. King Jr. | Dentist | 6111 Vollmer Ln, Godfrey, IL 62035-1062 | 2007-02-18 |
1568514248 | Mark W Lingen | Dentist | 150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965 | 2007-01-16 |
1861402893 | Dennis Gerald Boyer | Dentist | 183 S Bloomingdale Rd Ste 205, Bloomingdale, IL 60108-1400 | 2006-08-09 |
1871516088 | Sara C Gordon | Dentist | 801 S Paulina Street, Dept of Oral Medicine Uic College of Dentistry Mc 838, Chicago, IL 60612-7213 | 2006-07-26 |
1114967205 | Jerome E. Schoen | Dentist | 303 N Northwest Hwy, Barrington, IL 60010-3396 | 2006-06-07 |
1558312371 | James A Morrone | Dentist | 120 Oakbrook Ctr, Suite 700, Oak Brook, IL 60523-1806 | 2006-05-15 |
1205808854 | Reza Mostofi | Dentist | 3407 W Bryn Mawr Ave, Chicago, IL 60659-3450 | 2006-02-06 |
1710413091 | Kathleen Higgins | Dentist | 5841 S Maryland Ave # Mc3083, Chicago, IL 60637-1443 | 2017-05-05 |
1417369539 | Dr. Hussein O. Ads, PC | Dentist | 91 W Schaumburg Rd, Schaumburg, IL 60194-3506 | 2014-05-22 |
Find all providers with the same taxonomy |
City | PARK RIDGE |
Zip Code | 60068 |
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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.