Crystal Lake Oral Maxillofacial Surgery Ltd is a Oral and Maxillofacial Dental Clinic in Crystal Lake, Illinois. It is located at 690 N Il Route 31, Crystal Lake, IL and its contact number is 815-459-5600. The authorized person for Crystal Lake Oral Maxillofacial Surgery Ltd is Dr. Kurt E Bruksch
who is Vice-president of the clinic and their contact number is 815-459-5600. Other organizations associated with this clinic are Pediatric Dental Associates, Pc, Frederick M. Fitzpatrick, D.d.s., P.c., Crystal Lake Oral Maxillofacial Surgery Ltd, Frazier & Kopp Dds Pc, The primary license number for Crystal Lake Oral Maxillofacial Surgery Ltd is 019018137 (Oral and Maxillofacial Surgery) in Illinois. Crystal Lake Oral Maxillofacial Surgery Ltd 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:
Crystal Lake Oral Maxillofacial Surgery Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Crystal Lake Oral Maxillofacial Surgery Ltd
Specialization:
Oral and Maxillofacial Surgery
Clinic Address:
690 N Il Route 31, Crystal Lake, Illinois, 60012-3790
Phone:
815-459-5600
Fax:
815-459-5615
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. Kurt E Bruksch
Position:
Vice-president
Contact Number:
815-459-5600
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 Crystal Lake Oral Maxillofacial Surgery Ltd clinic are as mentioned below.
NPI Number:
1730197468
NPI Enumeration Date:
05 Aug, 2006
NPI Last Update On:
03 Jun, 2010
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Pediatric Dental Associates, Pc
Pediatric Dentistry
1568709988
Frederick M. Fitzpatrick, D.d.s., P.c.
Pediatric Dentistry
1700990447
Crystal Lake Oral Maxillofacial Surgery Ltd
Oral and Maxillofacial Surgery
1730197468
Frazier & Kopp Dds Pc
Dentistry
1871662486
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Crystal Lake Oral Maxillofacial Surgery Ltd are as mentioned below.
Specialization
License Number
State
Status
Oral and Maxillofacial Surgery
019018137
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
019025282
Medicaid
Idaho
019016621
Medicaid
Illinois
019018137
Medicaid
Illinois
019013457
Medicaid
Illinois
1700865441
Other
Npi # Dr. John Richard
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Crystal Lake Oral Maxillofacial Surgery Ltd 690 N Il Route 31, Crystal Lake, Illinois
Zip:
60012-3790
Phone Number:
815-459-5600
Fax Number:
815-459-5615
Patients can reach Crystal Lake Oral Maxillofacial Surgery Ltd at 690 N Il Route 31, Crystal Lake, Illinois or can call to book an appointment on 815-459-5600. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.