LAKESIDE ORAL & FACIAL SURGERY INSTITUTE
NPI 1205288982
Clinic/Center - Oral and Maxillofacial Surgery in Evanston, IL

Active since July 06, 2016
2500 RIDGE AVE, SUITE 302, EVANSTON, IL 60201(847) 328-8899(847) 563-1350 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Oral & Facial Surgery Institute NPPES

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

LAKESIDE ORAL & FACIAL SURGERY INSTITUTE (NPI 1205288982) is a healthcare organization registered as an oral and maxillofacial surgery in Evanston, Illinois and active in the NPI registry since July 2016. The organization lists Alan Harvey, Oral & Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1205288982
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameLAKESIDE ORAL & FACIAL SURGERY INSTITUTE
Location Address2500 RIDGE AVE, SUITE 302Evanston, IL 60201-2455
Mailing Address2500 Ridge Ave, Suite 302Evanston, IL 60201-2455 · (847) 328-8899 · Fax (847) 563-1350
Fax(847) 563-1350
Organization SubpartNo
Authorized OfficialAlan HarveyOral & Maxillofacial Surgeon · (847) 328-8899
Enumeration DateJuly 6, 2016
Last NPPES UpdateApril 19, 2018
NPI 1205288982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
License Licensed in IL · 021002718
Definition
An oral and maxillofacial surgery clinic or center 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.
2500 RIDGE AVE, Evanston, IL 60201

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
2500 RIDGE AVE, SUITE 301
EVANSTON, IL 60201
Podiatrist (Foot & Ankle Surgery)
2500 RIDGE AVE, SUITE #110
EVANSTON, IL 60201
Internal Medicine
2500 RIDGE AVE, STE 210
EVANSTON, IL 60201
Internal Medicine
2500 RIDGE AVE, SUITE 104
EVANSTON, IL 60201
Social Worker (Clinical)
2500 RIDGE AVE, SUITE 305
EVANSTON, IL 60201
Dentist (General Practice)
2500 RIDGE AVE, SUITE 102
EVANSTON, IL 60201
Internal Medicine
2500 RIDGE AVE, SUITE # 210
EVANSTON, IL 60201
Internal Medicine
2500 RIDGE AVE
EVANSTON, IL 60201

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 Lakeside Oral & Facial Surgery Institute's NPI number?

The NPI number for Lakeside Oral & Facial Surgery Institute is 1205288982. It was assigned to this organization in the NPPES registry on July 6, 2016.

Where is Lakeside Oral & Facial Surgery Institute located?

Lakeside Oral & Facial Surgery Institute is located at 2500 Ridge Ave Suite 302, Evanston, IL 60201. The listed phone number is (847) 328-8899.

What is Lakeside Oral & Facial Surgery Institute's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Lakeside Oral & Facial Surgery Institute was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.