# DRS. SLABY, ADAMS AND TIETJENS, LTD.

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

## Provider details

- **NPI number:** 1891843637
- **Authorized official:** DR. JAMES MATTHEW ADAMS DDS (PRESIDENT)
- **Authorized official phone:** (815) 939-7136

## Contact information

- **Practice address:** 750 ALMAR PKWY, SUITE 102, BOURBONNAIS, IL 60914-2315
- **Practice address phone:** (815) 939-7136
- **Practice address fax:** (815) 939-9820
- **Mailing address:** 750 ALMAR PKWY, SUITE 102, BOURBONNAIS, IL 60914-2315
- **Mailing address phone:** (815) 939-7136
- **Mailing address fax:** (815) 939-9820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 060002115 | IL | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 03/31/2009