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Organization
THE CENTRE FOR ORAL SURGERY IN JOLIET, INC.
Active
Organization
THE CENTRE FOR ORAL SURGERY IN JOLIET, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JOHN BABIUK ORAL SURGEON (CEO)
(815) 254-1560
Entity
Organization
Contact information
Practice address
3209 FIDAY RD, JOLIET, IL 60431-0644
(952) 653-2565
(952) 653-2540
Mailing address
3209 FIDAY RD, JOLIET, IL 60431-0644
(952) 653-2565
(952) 653-2540
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
10/02/2018
Last updated
10/02/2018
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