Organization
NORTHSHORE ORAL SURGERY CENTER
Active
Other names
Genesis Oral Surgery and Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANTHONY GUTHRIE DDS (PRESIDENT)
(773) 255-1128
Entity
Organization
Contact information
Practice address
2300 S MICHIGAN AVE STE 100, CHICAGO, IL 60616-2119
(773) 255-1128
Mailing address
2300 S MICHIGAN AVE STE 100, CHICAGO, IL 60616-2119
(872) 302-5322
(872) 282-0337
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
09/08/2025
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