# ORAL & MAXILLOFACIAL SURGERY OF CHICAGO P.C.

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

## Provider details

- **NPI number:** 1669620902
- **Authorized official:** DR. GUNJAN JAIN DDS (MANAGER)
- **Authorized official phone:** (708) 425-4301

## Contact information

- **Practice address:** 60 ORLAND SQUARE DR STE 301, ORLAND PARK, IL 60462-6550
- **Practice address phone:** (708) 349-4000
- **Practice address fax:** (888) 334-0111
- **Mailing address:** 6305 W 95TH ST FL 3, OAK LAWN, IL 60453-2255
- **Mailing address phone:** (708) 425-4301
- **Mailing address fax:** (888) 334-0111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 019027447 | IL | Yes |

## Other

- **Enumeration date:** 08/28/2008
- **Last updated:** 05/21/2025