# HARSHIV J VYAS MDS PLLC

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

## Provider details

- **NPI number:** 1437849692
- **Authorized official:** DR. HARSHIV J VYAS MDS (OWNER)
- **Authorized official phone:** (847) 998-8959

## Contact information

- **Practice address:** 3633 W LAKE AVE STE 100, GLENVIEW, IL 60026-5803
- **Practice address phone:** (847) 998-8959
- **Mailing address:** 7619 SUSSEX CREEK DR APT 108, DARIEN, IL 60561-4835
- **Mailing address phone:** (508) 395-1920

## 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:** 05/11/2023
- **Last updated:** 05/11/2023