OrganizationActive
Illinois Oral Surgery & Implant Center of Channahon
NPI 1750105748 · Oral and Maxillofacial Surgery Clinic/Center · Channahon, IL
Provider details
- NPI number
- 1750105748
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Mohammed Almandalawi, Owner
Mailing address
27025 W Eames St
Channahon, IL 60410-5619
Registry dates
- Enumerated
- 2024-11-14
- Last updated
- 2024-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.