LAKESIDE ORAL & IMPLANT SURGERY INSTITUTE, PC
NPI 1679070189
Clinic/Center - Oral and Maxillofacial Surgery in Chicago, IL

Q: What is Lakeside Oral & Implant Surgery Institute, PC's specialty?

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

Active since April 11, 2018

5758 S MARYLAND AVE # 4H, CHICAGO, IL 60637(773) 702-1865(773) 834-3888 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lakeside Oral & Implant Surgery Institute, Pc NPPES

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

LAKESIDE ORAL & IMPLANT SURGERY INSTITUTE, PC (NPI 1679070189) is a healthcare organization registered as an oral and maxillofacial surgery in Chicago, Illinois and active in the NPI registry since April 2018. The organization lists Alan Harvey, Oral & Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1679070189

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameLAKESIDE ORAL & IMPLANT SURGERY INSTITUTE, PC

Location Address5758 S MARYLAND AVE # 4HChicago, IL 60637-1426

Mailing Address5841 S Maryland Ave # Mc9020Chicago, IL 60637-1443 · (773) 702-1865 · Fax (773) 834-3888

Phone(773) 702-1865

Fax(773) 834-3888

Organization SubpartNo

Authorized OfficialAlan HarveyOral & Maxillofacial Surgeon · (773) 702-1865

Enumeration DateApril 11, 2018

✔ NPI 1679070189 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.

5758 S MARYLAND AVE # 4H, Chicago, IL 60637

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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 & Implant Surgery Institute, PC's NPI number?

The NPI number for Lakeside Oral & Implant Surgery Institute, PC is 1679070189. It was assigned to this organization in the NPPES registry on April 11, 2018.

Where is Lakeside Oral & Implant Surgery Institute, PC located?

Lakeside Oral & Implant Surgery Institute, PC is located at 5758 S Maryland Ave # 4H, Chicago, IL 60637. The listed phone number is (773) 702-1865.

What is Lakeside Oral & Implant Surgery Institute, PC'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 & Implant Surgery Institute, PC was last updated on April 11, 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.