Organization
MIDWEST ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA M DALY (OFFICE MANAGER)
(708) 448-8670
Entity
Organization
Contact information
Practice address
7400 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1155
(708) 448-8670
(708) 448-8698
Mailing address
7400 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1155
(708) 448-8670
(708) 448-8698
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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