Midwest Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

MIDWEST ORAL AND MAXILLOFACIAL SURGERY

Practice address

7400 W College Dr
Palos Heights, IL 60463-1155

Phone

(708) 448-8670

Fax

(708) 448-8698

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila M Daly

Title

Office Manager

Phone

(708) 448-8670

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Jeffrey W Chandler, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Elmhurst, IL
  • NPI 1013064864
  NPD (past)
• Shane J Doot, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Palos Heights, IL
  • NPI 1124175963
  NPD (past)
• Tylor Lawrence Gauger, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Palos Heights, IL
  • NPI 1013445105
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1679761969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631155",
            "telephone_number": "708-448-8670",
            "fax_number": "708-448-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631155",
            "telephone_number": "708-448-8670",
            "fax_number": "708-448-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-448-8670",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Micaletti, M.D.
• Suzanne Midani
• Midwest Allergy Inc
• Midwest Environmental Medicine PC
• Midwest Hand Surgery SC
• Midwest Pulmonary Critical Care & Sleep Consultants LLC
• Sharon A Miehle, PSYD, LCPC
• Neil Joseph Mier, MD
• Zdravko Mijailovic
• Kristin Margaret Mikolite, L.C.P.C., C.A.D.C.

• Oral and Maxillofacial Surgery (Dentist) in Palos Heights, IL
• Providers in Palos Heights, 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 Oct 11, 2007; 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.