IndividualActive
Andrew Bracci, D.M.D.
NPI 1528046620 · Oral and Maxillofacial Surgery (Dentist) · Great Lakes, IL
Provider details
- NPI number
- 1528046620
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 19026285 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
3001 6th St
Great Lakes, IL 60088-2833
Phone: (847) 688-2100
Approximate (ZIP-level) locationGet directions
Mailing address
1212 N Lasalle St
Chicago, IL 60610-8027
Additional practice locations (2)
- 117 Linwood AveBuffalo, NY 14209-2003Phone: (716) 882-6333
- 151 Sullys TrlPittsford, NY 14534-4562Phone: (585) 385-4867
Registry dates
- Enumerated
- 2006-01-09
- Last updated
- 2024-04-09
- Certified
- 2024-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.