Organization
ILLINIOS VALLEY ORAL SURGEONS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P ROONEY DMD (PRESIDENT)
(815) 224-1534
Entity
Organization
Contact information
Practice address
2050 MARQUETTE RD, PERU, IL 61354-1597
(815) 224-1534
(815) 224-3018
Mailing address
2050 MARQUETTE RD, PERU, IL 61354-1597
(815) 224-1534
(815) 224-3018
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
03/13/2008
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