Active NPI
Partners in Oral Surgery and Implants PLLC
- Oral and Maxillofacial Surgery (Dentist)
- Frankfort, IL
National Provider Identifier
1013506922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- PARTNERS IN ORAL SURGERY AND IMPLANTS PLLC
- Practice address
- 10241 W Lincoln Hwy
Frankfort, IL 60423-1279 - Phone
- (815) 464-6500
- NPI assigned
- Jan 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Bonomo
- Title
- Office Manager
- Phone
- (815) 464-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
10241 W Lincoln Hwy
Frankfort, IL 60423-1279
Mailing address
10241 W Lincoln Hwy
Frankfort, IL 60423-1279
Phone (815) 464-6500
National Provider Directory
National Provider DirectoryLocations
10241 W Lincoln Hwy
Frankfort, IL 60423
Phone (815) 464-6500
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Frankfort, IL
- NPI 1982777652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610582400000",
"number": "1013506922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10241 W LINCOLN HWY",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604231279",
"telephone_number": "815-464-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10241 W LINCOLN HWY",
"city": "FRANKFORT",
"state": "IL",
"postal_code": "604231279",
"telephone_number": "815-464-6500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNERS IN ORAL SURGERY AND IMPLANTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A",
"authorized_official_last_name": "BONOMO",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "815-464-6500"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.