Oak Park Oral Surgery, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019018956 Issued in IL

Legal business name

OAK PARK ORAL SURGERY, P.C.

Practice address

821 S Oak Park Ave
Oak Park, IL 60304-1217

Phone

(708) 383-8228

Fax

(708) 383-8288

NPI assigned

Jun 14, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Henry C. Fung, D.D.S.

Title

President

Phone

(708) 383-8228

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244937600000",
    "number": "1174750426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S OAK PARK AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041217",
            "telephone_number": "708-383-8228",
            "fax_number": "708-383-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S OAK PARK AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041217",
            "telephone_number": "708-383-8228",
            "fax_number": "708-383-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK PARK ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-14",
        "last_updated": "2009-06-14",
        "status": "A",
        "authorized_official_last_name": "FUNG",
        "authorized_official_first_name": "HENRY C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-383-8228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019018956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oak Park Kidney Center LLC
• Oak Park Lab LLC
• Oak Park Medical Services PC
• Oak Park Oasis LLC
• Oak Park Open MRI
• Oak Park Pediatrics LTD.
• Oak Park Physiotherapy
• Oak Park PS Dist 97
• Oak Park River Forest Infant Welfare Society
• Oak Park Sport & Spine SC

• Dental Clinic/Center in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.