Organization
MEJ & ASSOCIATES ENTERPRISES LLC
Active
Other names
Fox River Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWIN JONES D.D.S. (PRESIDENT)
(815) 356-3977
Entity
Organization
Contact information
Practice address
1500 CARLEMONT DR, SUITE #F, CRYSTAL LAKE, IL 60014-1833
(815) 356-3977
Mailing address
1500 CARLEMONT DR, SUITE #F, CRYSTAL LAKE, IL 60014-1833
(815) 356-3977
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
21002105
IL
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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