Illinois Oral Surgery & Implant Center of Channahon
Organization Active NPI Oral and Maxillofacial Surgery Clinic/Center · Channahon, IL
NPI 1750105748 · NPPES record last updated Nov 14, 2024
Key facts
- NPI
- 1750105748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center 261QS0112X
- Legal business name
- ILLINOIS ORAL SURGERY & IMPLANT CENTER OF CHANNAHON
- Practice address
- 27025 W Eames St
Channahon, IL 60410-5619 - Phone
- (630) 355-9449
- NPI assigned
- Nov 14, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Mohammed K Almandalawi, DMD, BDS
- Title
- Owner
- Phone
- (630) 355-9449
Practitioners 1
-
Mohammed Kassim Almandalawi, D.M.D
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center | 261QS0112X | Yes |
Addresses
Primary practice location
27025 W Eames St
Channahon, IL 60410-5619
Mailing address
27025 W Eames St
Channahon, IL 60410-5619
Other providers in Channahon, IL
- Rachel Herzberger
- Randall Scott Highbaugh Jr.
- Lisa Ann Hill
- Trisha Larena Holder
- Madelynn Jane Hugunin
- Sheryl M Janz
- Janandana Kaladhini Jeganmohan
- Dustin Joder
- Louis B Kaducak
- Adam Kagan
All providers in Channahon, IL · Oral and Maxillofacial Surgery Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.