is a Oral and Maxillofacial Dental Clinic in Oak Park, Illinois. It is located at 1126 Westgate St, Oak Park, IL and its contact number is 708-383-8851. The authorized person for is Dr. Allan D. Klenetsky
who is President of the clinic and their contact number is 708-383-8851. The primary license number for is 21000970 (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:
1126 Westgate St, Oak Park, Illinois, 60301-1008
Phone:
708-383-8851
Fax:
708-383-6272
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. Allan D. Klenetsky
Position:
President
Contact Number:
708-383-8851
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:
1497894786
NPI Enumeration Date:
05 Feb, 2007
NPI Last Update On:
01 Apr, 2015
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
21000970
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
215932
Other
Illinois
Ptan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1126 Westgate St, Oak Park, Illinois
Zip:
60301-1008
Phone Number:
708-383-8851
Fax Number:
708-383-6272
Patients can reach at 1126 Westgate St, Oak Park, Illinois or can call to book an appointment on 708-383-8851. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.