OrganizationActive
Oral and Maxilloficial Head and Neck Associates LLC
NPI 1821652736 · Oral & Maxillofacial Surgery (D.M.D.) · Chicago, IL
Provider details
- NPI number
- 1821652736
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- Mohammed Qaisi, Member
Practice location
811 West Wellington Avenue
Attention: Mohammed Qaisi, MD., DMD.
Chicago, IL 60657-5123
Phone: (847) 676-0091
Fax: (847) 676-2374
Mailing address
Po Box 734471
Chicago, IL 60673-4471
Registry dates
- Enumerated
- 2019-04-25
- Last updated
- 2019-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.