Provider Demographics
NPI:1588866891
Name:BABIUK, JEFFREY MARLIN (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:MARLIN
Last Name:BABIUK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:115 COMMERCE DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-7812
Mailing Address - Country:US
Mailing Address - Phone:847-548-8800
Mailing Address - Fax:847-548-8802
Practice Address - Street 1:115 COMMERCE DR
Practice Address - Street 2:SUITE D
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-7812
Practice Address - Country:US
Practice Address - Phone:847-548-8800
Practice Address - Fax:847-548-8802
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery