NPIMap

Organization Active NPI

Oral & Maxillofacial Surgery of Chicago P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Orland Park, IL
National Provider Identifier
1669620902
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
019027447 Issued in IL
Legal business name
ORAL & MAXILLOFACIAL SURGERY OF CHICAGO P.C.
Practice address
60 Orland Square Dr Ste 301
Orland Park, IL 60462-6550
Phone
(708) 349-4000
Fax
(888) 334-0111
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Dr. Gunjan Jain, DDSNPI 1023277134
Title
Manager
Phone
(708) 425-4301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 019027447 IL Primary

Addresses

Primary practice location

60 Orland Square Dr Ste 301
Orland Park, IL 60462-6550

Mailing address

6305 W 95TH St FL 3
Oak Lawn, IL 60453-2255
Phone (708) 425-4301

National Provider Directory

National Provider Directory

Locations

6715 W Archer Ave
Chicago, IL 60638
Phone (773) 229-1081

6305 W 95th St
Fl 3
Oak Lawn, IL 60453
Phone (708) 425-4301

6305 W 95th St
Ste 301
Oak Lawn, IL 60453
Phone (708) 425-4300

15300 West Ave
Ste 113
Orland Park, IL 60462
Phone (708) 349-4000

60 Orland Square Dr
Ste 301
Orland Park, IL 60462
Phone (708) 349-4000

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1669620902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 W 95TH ST FL 3",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532255",
            "telephone_number": "708-425-4301",
            "fax_number": "888-334-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ORLAND SQUARE DR STE 301",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626550",
            "telephone_number": "708-349-4000",
            "fax_number": "888-334-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGERY OF CHICAGO P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "GUNJAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-425-4301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019027447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.