Organization
PESKIN ORAL SURGERY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH HOWARD PESKIN D.D.S. (PRESIDENT/OWNER-ORAL SURGEON)
(847) 676-4590
Entity
Organization
Contact information
Practice address
4711 GOLF RD, SUITE 408, SKOKIE, IL 60076-1224
(847) 676-4590
(847) 676-4695
Mailing address
4711 GOLF RD, SUITE 408, SKOKIE, IL 60076-1224
(847) 676-4590
(847) 676-4695
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
08/01/2006
Last updated
08/22/2020
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