is a Oral and Maxillofacial Dental Clinic in Gurnee, Illinois. It is located at 310 S Greenleaf St Ste 203, Gurnee, IL and its contact number is 847-623-5915. The authorized person for is Dr. Diana Mandel-tatch
who is Office Manager of the clinic and their contact number is 972-898-5336. The primary license number for is 021002076 (Oral and Maxillofacial Surgery) in Illinois. Clinic deals with 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.
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
310 S Greenleaf St Ste 203, Gurnee, Illinois, 60031-5708
Phone:
847-623-5915
Fax:
847-623-1174
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Diana Mandel-tatch
Position:
Office Manager
Contact Number:
972-898-5336
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for clinic are as mentioned below.
NPI Number:
1356423891
NPI Enumeration Date:
20 Oct, 2006
NPI Last Update On:
14 Aug, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
021002076
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
310 S Greenleaf St Ste 203, Gurnee, Illinois
Zip:
60031-5708
Phone Number:
847-623-5915
Fax Number:
847-623-1174
Patients can reach at 310 S Greenleaf St Ste 203, Gurnee, Illinois or can call to book an appointment on 847-623-5915. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.