OrganizationActive
Northwestern Oral & Maxillofacial Surgeons PC
NPI 1558643734 · Oral and Maxillofacial Surgery Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1558643734
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alexis Olsson, President(312) 926-6333
- License
- 021.001615 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
201 E Huron St
Suite 12-100
Chicago, IL 60611-3197
Phone: (312) 926-6333
Fax: (312) 926-3444
Street-level locationGet directions
Mailing address
201 E Huron St
Chicago, IL 60611-3197
Registry dates
- Enumerated
- 2011-09-14
- Last updated
- 2011-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.