CHICAGO ORAL & MAXILLOFACIAL SURGERY
NPI 1366599748
Dentist - Oral and Maxillofacial Surgery in Chicago, IL

Q: What is Chicago Oral & Maxillofacial Surgery's NPI number?

The NPI number for Chicago Oral & Maxillofacial Surgery is 1366599748. It was assigned to this organization in the NPPES registry on January 5, 2007.

Q: What is Chicago Oral & Maxillofacial Surgery's specialty?

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

Active since January 05, 2007

676 N ST. CLAIR STREET, SUITE 2280, CHICAGO, IL 60611(312) 926-2929(312) 926-3595 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Chicago Oral & Maxillofacial Surgery NPPES

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

CHICAGO ORAL & MAXILLOFACIAL SURGERY (NPI 1366599748) is a healthcare organization registered as an oral and maxillofacial surgery in Chicago, Illinois and active in the NPI registry since January 2007. The organization lists Neil Bruce Hagen, Owner, as its authorized official.

NPPES Registry Identity

NPI1366599748

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameCHICAGO ORAL & MAXILLOFACIAL SURGERY

Location Address676 N ST. CLAIR STREET, SUITE 2280Chicago, IL 60611-3197

Mailing Address676 N St. Clair Street, Suite 2280Chicago, IL 60611-3197 · (312) 926-2929 · Fax (312) 926-3595

Phone(312) 926-2929

Fax(312) 926-3595

Organization SubpartNo

Authorized OfficialNeil Bruce HagenOwner · (312) 926-2929

Enumeration DateJanuary 5, 2007

Last NPPES UpdateMay 11, 2009

✔ NPI 1366599748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IL · 21-001074

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.

676 N ST. CLAIR STREET, Chicago, IL 60611

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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

Other Providers at the Same Location NPPES

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

DR. CATHERINE-AUDREY BOUTIN M.D.

Internal Medicine (Infectious Disease)

676 N ST. CLAIR STREET, SUITE 940
CHICAGO, IL 60611

Cook County (312) 926-8358

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 Chicago Oral & Maxillofacial Surgery's NPI number?

The NPI number for Chicago Oral & Maxillofacial Surgery is 1366599748. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is Chicago Oral & Maxillofacial Surgery located?

Chicago Oral & Maxillofacial Surgery is located at 676 N St. Clair Street Suite 2280, Chicago, IL 60611. The listed phone number is (312) 926-2929.

What is Chicago Oral & Maxillofacial Surgery's specialty?

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

When was this NPI record last updated?

The NPPES record for Chicago Oral & Maxillofacial Surgery was last updated on May 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.