Organization
CHICAGO MAXILLOFACIAL IMAGING
Active
Parent organization
THE LINCOLN PARK INSTITUTE FOR ORAL AND MAXILLOFACIAL SURGERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LINCOLN PARK INSTITUTE FOR ORAL AND MAXILLOFACIAL SURGERY
Authorized official
MRS. LIZBETH CANALES (OFFICE MANAGER)
(773) 327-2400
Entity
Organization
Contact information
Practice address
2449 N LINCOLN AVE, CHICAGO, IL 60614-2414
(773) 327-2400
(773) 327-4759
Mailing address
2449 N LINCOLN AVE, CHICAGO, IL 60614-2414
(773) 327-2400
(773) 327-4759
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
—
—
Other
Enumeration date
04/18/2008
Last updated
04/18/2008
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