Organization
CHICAGO SURGICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY M. SPINA D.D.S., M.D. (OWNER)
(847) 268-3910
Entity
Organization
Contact information
Practice address
22 S WASHINGTON AVE, PARK RIDGE, IL 60068-4267
(847) 268-3910
(847) 897-3118
Mailing address
22 S WASHINGTON AVE, PARK RIDGE, IL 60068-4267
(847) 268-3910
(847) 897-3118
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/03/2013
Last updated
06/04/2020
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