Grayslake Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019-022879 Issued in IL

Legal business name

GRAYSLAKE ORAL AND MAXILLOFACIAL SURGERY

Practice address

115 Commerce Dr
Suite D
Grayslake, IL 60030-7812

Phone

(847) 548-8800

Fax

(847) 548-8802

NPI assigned

Apr 22, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Marlin Babiuk I, D.D.S.NPI 1588866891

Title

President

Phone

(847) 548-8800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Marlin Babiuk, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Grayslake, IL
  • NPI 1588866891
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1871767780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COMMERCE DR",
            "address_2": "SUITE D",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307812",
            "telephone_number": "847-548-8800",
            "fax_number": "847-548-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COMMERCE DR",
            "address_2": "SUITE D",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307812",
            "telephone_number": "847-548-8800",
            "fax_number": "847-548-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSLAKE ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "BABIUK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MARLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-548-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019-022879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grayslake Dental Crare
• Grayslake Dental Studio PLLC
• Grayslake Eyecare Assoc LTD
• Grayslake Family Health Center SC
• Grayslake Fire Protection District
• Grayslake Orthodontics Inc
• Grayslake Rehabilitation and Complete Physical Therapy LLC
• Cheryl A Gross, RPH AND PHARM D
• James Alan Gross, MD
• Melanie Grupka

• Oral and Maxillofacial Surgery (Dentist) in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.