Hussein O Ads, BDS
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Maywood, IL
NPI 1801966940 · NPPES record last updated Oct 15, 2010
Key facts
- NPI
- 1801966940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 019027178 (IL)
- Practice address
- 2160 S First Ave
Maguire Center, Room 1815
Maywood, IL 60153 - Phone
- (708) 327-2700
- Fax
- (708) 327-3474
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070208000439 | IL | Practitioner - Maxillofacial Surgery |
4486656147 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Physician Foundation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 019027178 | IL | Yes |
| Surgery Physician | 208600000X | 019027178 | IL |
Addresses
Primary practice location
2160 S First Ave
Maguire Center, Room 1815
Maywood, IL 60153
Mailing address
2160 S First Ave
Maguire Center, Room 1815
Maywood, IL 60153
Phone (708) 327-2700
Other providers in Maywood, IL
- Ayomide Adeleye
- Charlotte Adema
- Prabesh Adhikari
- Michelle Adichithara
- Scott H Adkisson
- Tushar Advani
- Akpene Sarah Agamah
- Deep K Aggarwal
- Caroline Agha
- Rekha Agrawal
All providers in Maywood, IL · Oral and Maxillofacial Surgery (Dentist) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.