Organization
LAKESIDE ORAL & FACIAL SURGERY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN HARVEY DMD (ORAL & MAXILLOFACIAL SURGEON)
(847) 328-8899
Entity
Organization
Contact information
Practice address
2500 RIDGE AVE, SUITE 302, EVANSTON, IL 60201-2455
(847) 328-8899
(847) 563-1350
Mailing address
2500 RIDGE AVE, SUITE 302, EVANSTON, IL 60201-2455
(847) 328-8899
(847) 563-1350
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
021002718
IL
Other
Enumeration date
07/06/2016
Last updated
04/19/2018
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