NORTH SUBURBAN CENTER FOR ORAL & FACIAL SURGERY
NPI 1063695104
Dentist - Oral and Maxillofacial Surgery in Northbrook, IL

Active since December 12, 2007
1240 MEADOW RD, SUITE 300, NORTHBROOK, IL 60062(847) 272-9516(847) 272-9551 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About North Suburban Center For Oral & Facial Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH SUBURBAN CENTER FOR ORAL & FACIAL SURGERY (NPI 1063695104) is a healthcare organization registered as an oral and maxillofacial surgery in Northbrook, Illinois and active in the NPI registry since December 2007. The organization lists William L. Nickel, President, as its authorized official.

NPPES Registry Identity

NPI1063695104
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNORTH SUBURBAN ORAL SURGERY, LTD
Location Address1240 MEADOW RD, SUITE 300Northbrook, IL 60062-8300
Mailing Address1240 Meadow Rd, Suite 300Northbrook, IL 60062-8300 · (847) 272-9516 · Fax (847) 272-9551
Fax(847) 272-9551
Organization SubpartNo
Authorized OfficialWilliam L. NickelPresident · (847) 272-9516
Enumeration DateDecember 12, 2007
✔ NPI 1063695104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1240 MEADOW RD, Northbrook, IL 60062

Other Names 1

Doing Business AsNorth Suburban Center For Oral & Facial Surgery

Other Identifiers 1

Medicare UPINU93735IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Suburban Center For Oral & Facial Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to North Suburban Center For Oral & Facial Surgery, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Oral Surgery
NPI 1649283847
715 ELM STREET SUITE 105
Winnetka, IL 60093
(224) 255-6790
✔ PECOS5.3 mi
Maxillofacial Surgery
NPI 1477622801
2160 S FIRST AVE (EMS BLDG., RM. 2700)
Maywood, IL 60153
(708) 327-2700
✔ PECOS✔ Accepts Medicare19 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Suburban Oral Surgery, Ltd's NPI number?

The NPI number for North Suburban Oral Surgery, Ltd is 1063695104. It was assigned to this organization in the NPPES registry on December 12, 2007. The provider is doing business as North Suburban Center For Oral & Facial Surgery.

Where is North Suburban Oral Surgery, Ltd located?

North Suburban Oral Surgery, Ltd is located at 1240 Meadow Rd Suite 300, Northbrook, IL 60062. The listed phone number is (847) 272-9516.

What is North Suburban Oral Surgery, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is North Suburban Oral Surgery, Ltd enrolled in Medicare?

Yes. North Suburban Oral Surgery, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Suburban Oral Surgery, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to North Suburban Oral Surgery, Ltd, in Maxillofacial Surgery and Oral Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does North Suburban Oral Surgery, Ltd accept?

Health plans from UnitedHealthcare list North Suburban Oral Surgery, Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Suburban Oral Surgery, Ltd was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.