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Organization

BDD OF ILLINOIS P.C.

Active
Parent organization
BDD OF ILLINOIS P.C.
Other names
Carol Stream Dental Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
BDD OF ILLINOIS P.C.
Authorized official
JAY JORBIN (CFO)
(312) 805-8590
Entity
Organization

Contact information

Practice address
784 W ARMY TRAIL RD, CAROL STREAM, IL 60188-9297
(630) 289-8899
Mailing address
333 W 1ST ST, ELMHURST, IL 60126-2641
(312) 805-8590

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
10/05/2021
Last updated
04/19/2026
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