OrganizationActive
Brookfield Oral Surgery, LLC
NPI 1225612534 · Oral and Maxillofacial Surgery (Dentist) · Brookfield, IL
Provider details
- NPI number
- 1225612534
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Tyran Johnson, Owner(708) 680-7017
Specialties & taxonomies
Dental Providers
Practice location
9240 Broadway Ave
Brookfield, IL 60513-1252
Phone: (708) 680-7017
Fax: (708) 419-3537
Approximate (ZIP-level) locationGet directions
Mailing address
27 Elmwood Ave
La Grange Park, IL 60526-2032
Other names (DBA / former)
- Doing business as
- Brookfield Oral Surgery
Registry dates
- Enumerated
- 2021-05-12
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.