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Organization
ORAL FACIAL SURGERY INSTITUTE OF ILLINOIS P C
Active
Organization
ORAL FACIAL SURGERY INSTITUTE OF ILLINOIS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE G LAMPE (ADMINISTRATOR)
(618) 398-6594
Entity
Organization
Contact information
Practice address
10200 WEST MAIN STREET, BELLEVILLE, IL 62223
(618) 397-2464
(618) 398-4450
Mailing address
10200 W MAIN ST, BELLEVILLE, IL 62223-1408
(618) 400-6725
(618) 500-6725
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
07/16/2014
Last updated
07/22/2026
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