Central Illinois Oral Surgery

LBN: Central Illinois Oral And Maxillofacial Surgery, Pc
Central Illinois Oral Surgery is an health care organization with primary practice located at 1200 Network Centre Dr Suite B, Effingham IL 62401-4637. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Central Illinois Oral And Maxillofacial Surgery, Pc can be contacted via phone (217) 540-5800, or through Kroeger, Amy via phone (217) 540-5100.

Contact Information

Primary practice address
1200 Network Centre Dr Suite B Effingham IL 62401-4637
Phone: (217) 540-5800
Fax: (217) 342-2557
Website:
Map and Directions
Authorized official contact:
Name: Kroeger, Amy
Phone: (217) 540-5100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 019-024942 Illinois

Profile Details

NPI number 1891843595
LBN Legal business name Central Illinois Oral And Maxillofacial Surgery, Pc
DBA Doing business as Central Illinois Oral Surgery
Authorized official Kroeger, Amy
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jun 29th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1891843595 NPPES
Illinois MEDICAID 1014426

Popular Providers