Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northwestern Oral & Maxillofacial Surgeons PC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1558643734

Northwestern Oral & Maxillofacial Surgeons PC provides Oral and Maxillofacial Surgery Clinic/Center services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 E Huron St Ste 12-100
Chicago, IL 60611-3197 Not confirmed with CMS for 15 years — call before visiting
Phone: (312) 926-6333
Fax: (312) 926-3444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence 021.001615 (IL)

Record details

NPI number1558643734
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alexis Olsson — President · (312) 926-6333
NPI enumeratedSeptember 14, 2011
Last updated in NPPESSeptember 14, 2011
Mailing address201 E Huron St, Suite 12-100, Chicago, IL 60611-3197

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