Organization
NORTH SUBURBAN ORAL SURGERY, LTD
Active
Other names
North Suburban Center for Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L. NICKEL DDS (PRESIDENT)
(847) 272-9516
Entity
Organization
Contact information
Practice address
1240 MEADOW RD, SUITE 300, NORTHBROOK, IL 60062-8300
(847) 272-9516
(847) 272-9551
Mailing address
1240 MEADOW RD, SUITE 300, NORTHBROOK, IL 60062-8300
(847) 272-9516
(847) 272-9551
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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