# THE CENTRE FOR ORAL SURGERY IN JOLIET, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710462130
- **Authorized official:** JAMES JOHN BABIUK ORAL SURGEON (CEO)
- **Authorized official phone:** (815) 254-1560

## Contact information

- **Practice address:** 3209 FIDAY RD, JOLIET, IL 60431-0644
- **Practice address phone:** (952) 653-2565
- **Practice address fax:** (952) 653-2540
- **Mailing address:** 3209 FIDAY RD, JOLIET, IL 60431-0644
- **Mailing address phone:** (952) 653-2565
- **Mailing address fax:** (952) 653-2540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2018
- **Last updated:** 10/02/2018