North Suburban Oral Surgery, Ltd
NPI 1063695104 · Oral and Maxillofacial Surgery (Dentist) · Northbrook, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North Suburban Oral Surgery, Ltd is a Oral and Maxillofacial Surgery (Dentist) organization in Northbrook, IL (NPI 1063695104).
Provider details
- NPI number
- 1063695104
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- William Nickel, President(847) 272-9516
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- North Suburban Center for Oral & Facial Surgery
Registry dates
- Enumerated
- 2007-12-12
- Last updated
- 2007-12-12
Frequently asked questions
- What is North Suburban Oral Surgery, Ltd's NPI number?
- North Suburban Oral Surgery, Ltd's National Provider Identifier (NPI) is 1063695104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Suburban Oral Surgery, Ltd?
- North Suburban Oral Surgery, Ltd is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is North Suburban Oral Surgery, Ltd located?
- North Suburban Oral Surgery, Ltd's practice location on file with NPPES is 1240 Meadow Rd, Northbrook, IL 60062-8300.
- What is North Suburban Oral Surgery, Ltd's phone number?
- The practice phone number listed in the NPPES registry for North Suburban Oral Surgery, Ltd is (847) 272-9516.
- Does North Suburban Oral Surgery, Ltd accept Medicare?
- North Suburban Oral Surgery, Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for North Suburban Oral Surgery, Ltd?
- The authorized official listed on North Suburban Oral Surgery, Ltd's NPPES record is William Nickel, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Suburban Oral Surgery, Ltd's NPI active?
- Yes — North Suburban Oral Surgery, Ltd's NPI (1063695104) is active in the NPPES registry as of the last update on 2007-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.