Lincoln Park Oral & Cosmetic Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

LINCOLN PARK ORAL & COSMETIC SURGERY

Practice address

2449 N Lincoln Ave
Chicago, IL 60614-2414

Phone

(773) 327-2400

Fax

(773) 327-4759

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Greene, D.D.S.

Title

President

Phone

(773) 327-2400

Specialties & licenses 1

Addresses

Other names 1

• Lincoln Park Institute Doing business as

Tax ID family

Ambulatory Surgery Centers of Chicago2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ambulatory Surgery Centers of Chicago

  • Ambulatory Surgical Clinic/Center
  • Chicago, IL
  • NPI 1437347796
  NPD tax ID

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225258957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142414",
            "telephone_number": "773-327-2400",
            "fax_number": "773-327-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142414",
            "telephone_number": "773-327-2400",
            "fax_number": "773-327-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK ORAL & COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-327-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Park Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lincoln Park Family Physicians SC
• Lincoln Park Heart Center, S.C.
• Lincoln Park Home Health Care, Inc.
• Lincoln Park OBGYN SC
• Lincoln Park Open MRI, LLC
• Lincoln Park Orthopedics S.C.
• Lincoln Park Physical Therapy, PLLC
• Lincoln Park Primary Care PLLC
• Lincoln Park Psychology, Inc.
• Lincoln Park Skilled Nursing Facility LLC

• Oral and Maxillofacial Surgery (Dentist) in Chicago, IL
• Providers in Chicago, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.