| NPI | 1417158320 |
|---|---|
| Former Legal Business Name | WILL COUNTY ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JAMES JOHN BABIUK Owner 815-254-1560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019-022819) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |