Organization
SCHAUMBURG ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK L BANAKIS DDS (ORAL SURGEON)
(847) 882-9448
Entity
Organization
Contact information
Practice address
999 N PLAZA DR STE 102, SUITE 2N, SCHAUMBURG, IL 60173-5403
(847) 882-9448
(847) 882-9496
Mailing address
999 N PLAZA DR STE 102, SUITE 2N, SCHAUMBURG, IL 60173-5403
(847) 882-9448
(847) 882-9496
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
021000892 DR DOEPFLE
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021001611 DR BANAKIS
IL
Other
Enumeration date
09/28/2006
Last updated
10/19/2016
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