# CHICAGO SURGICAL SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235560178
- **Authorized official:** DR. ANTHONY M. SPINA D.D.S., M.D. (OWNER)
- **Authorized official phone:** (847) 268-3910

## Contact information

- **Practice address:** 22 S WASHINGTON AVE, PARK RIDGE, IL 60068-4267
- **Practice address phone:** (847) 268-3910
- **Practice address fax:** (847) 897-3118
- **Mailing address:** 22 S WASHINGTON AVE, PARK RIDGE, IL 60068-4267
- **Mailing address phone:** (847) 268-3910
- **Mailing address fax:** (847) 897-3118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2013
- **Last updated:** 06/04/2020