Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
CENTRAL ILLINOIS ORAL AND MAXILLOFACIAL SURGERY, PC
Active
Organization
CENTRAL ILLINOIS ORAL AND MAXILLOFACIAL SURGERY, PC
Active
Parent organization
CENTRAL ILLINOIS ORAL AND MAXILLOFACIAL SURGERY, PC
Other names
Champaign Oral Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL ILLINOIS ORAL AND MAXILLOFACIAL SURGERY, PC
Authorized official
AMY M KROEGER (INSURANCE COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
14 E ANTHONY DR, SUITE C, CHAMPAIGN, IL 61820-2748
(217) 355-2809
(217) 355-5921
Mailing address
14 E ANTHONY DR, SUITE C, CHAMPAIGN, IL 61820-2748
(217) 355-2809
(217) 355-5921
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
08/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers