Peskin Oral Surgery, LTD.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PESKIN ORAL SURGERY, LTD.

Practice address

4711 Golf Rd
Suite 408
Skokie, IL 60076-1224

Phone

(847) 676-4590

Fax

(847) 676-4695

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Howard Peskin, D.D.S.

Title

President/Owner-Oral Surgeon

Phone

(847) 676-4590

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649286287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD",
            "address_2": "SUITE 408",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761224",
            "telephone_number": "847-676-4590",
            "fax_number": "847-676-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD",
            "address_2": "SUITE 408",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761224",
            "telephone_number": "847-676-4590",
            "fax_number": "847-676-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PESKIN ORAL SURGERY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PESKIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER-ORAL SURGEON",
        "authorized_official_telephone_number": "847-676-4590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ludmila Perciun
• Periodontics LTD.
• Jeannette Rebecca Perkal, MAAT, LPC
• Judith Lea Perlman, M.S.W.
• Blair Valentine Person, M.S., CCC-SLP
• Kenneth Howard Peskin, D.D.S.
• Peter Rooney LTD
• Christina M Peters, PHD
• Dora Navarro Peters, MS OTRL
• Katherine Elisabeth Peters, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Skokie, IL
• Providers in Skokie, 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 Aug 22, 2020; 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.