Organization
ILLINOIS ORAL SURGERY & IMPLANT CENTER OF CHANNAHON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED K ALMANDALAWI DMD, BDS (OWNER)
(630) 355-9449
Entity
Organization
Contact information
Practice address
27025 W EAMES ST, CHANNAHON, IL 60410-5619
(630) 355-9449
Mailing address
27025 W EAMES ST, CHANNAHON, IL 60410-5619
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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