Individual
JONATHAN S BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
611 W. PARK ST., ORAL AND MAXILLOFACIAL SURGERY, URBANA, IL 61801-2500
(217) 383-3280
(217) 383-7071
Mailing address
611 W. PARK ST., URBANA, IL 61801-2500
(217) 383-6941
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
036104913
IL
Other
Enumeration date
07/10/2006
Last updated
11/26/2019
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