Organization
GRAYSLAKE ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MARLIN BABIUK I D.D.S. (PRESIDENT)
(847) 548-8800
Entity
Organization
Contact information
Practice address
115 COMMERCE DR, SUITE D, GRAYSLAKE, IL 60030-7812
(847) 548-8800
(847) 548-8802
Mailing address
115 COMMERCE DR, SUITE D, GRAYSLAKE, IL 60030-7812
(847) 548-8800
(847) 548-8802
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019-022879
IL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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