| NPI | 1952803504 |
|---|---|
| Doing Business As | ELGIN ORAL AND MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | JAMIE WAITE Office Manager 847-697-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021.002844) |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-04-16 |