Provider Demographics
NPI:1528543121
Name:JOMS LLC
Entity Type:Organization
Organization Name:JOMS LLC
Other - Org Name:ORAL AND FACIAL SURGERY OF NAPERVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:RIFAI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD MD
Authorized Official - Phone:630-961-5151
Mailing Address - Street 1:10 MARTIN AVE STE 164
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6563
Mailing Address - Country:US
Mailing Address - Phone:630-961-5151
Mailing Address - Fax:630-961-5173
Practice Address - Street 1:10 MARTIN AVE STE 164
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6563
Practice Address - Country:US
Practice Address - Phone:630-961-5151
Practice Address - Fax:630-961-5173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-28
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1780780197Medicaid
IL1710143177Medicaid