Louis G Mercuri
Surgeon Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
Loyola University Medical Center 2160 S First Ave 101 1740
Maywood
, Illinois 60153
Louis G Mercuri
Surgeon Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
Loyola University Medical Center 2160 S First Ave 101 1740
Maywood
, Illinois 60153
(708) 216-9033
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
- Surgeon
Languages spoken
- English
Location
First Address
- Louis G Mercuri
- Loyola University Medical Center 2160 S First Ave 101 1740
- Maywood, IL
- Zip : 60153
- Fax : (708) 216-9033
- Phone : (708) 216-9000
Second Address
- Louis G Mercuri
- Loyola University Medical Center 2160 S First Ave 101 1740
- Maywood, IL
- Zip : 60153
- Fax : (708) 216-9033
- Phone : (708) 216-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | IL | |
| N | 204E00000X | Oral & Maxillofacial Surgeon | IL | |
| N | 208200000X | Surgeon | IL | |
| N | 208600000X | Surgeon | IL |
National Provider Identifier
| NPI | 1386713725 |
|---|---|
| Provider Name | Louis G Mercuri |
| First Address | Maywood, IL 60153 |
| Second Address | Maywood, IL 60153 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2006 |
| Last Update Date | 12/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T38819 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.