Organization
STERLING ROCK FALLS CLINIC, LTD
Active
Other names
Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LEMAY M.D. (PRES.-BOARD OF DIRECTORS)
(815) 625-4790
Entity
Organization
Contact information
Practice address
10 W 3RD ST, STERLING, IL 61081-3503
(815) 632-5300
Mailing address
101 E MILLER RD, STERLING, IL 61081-1252
(815) 625-4790
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9815737
BLUE CROSS/ BLUE SHIELD
IL
Enumeration date
05/22/2009
Last updated
05/22/2009
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