Kankakee Valley Oral Maxillofacial Surgery PC
NPI 1245822162 · Oral and Maxillofacial Surgery (Dentist) · Bourbonnais, IL
Kankakee Valley Oral Maxillofacial Surgery PC is a Oral and Maxillofacial Surgery (Dentist) organization in Bourbonnais, IL (NPI 1245822162).
Provider details
- NPI number
- 1245822162
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Ineke Basile, Office Manager(815) 933-0990
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-02-11
- Last updated
- 2021-02-11
- Certified
- 2021-01-22
Frequently asked questions
- What is Kankakee Valley Oral Maxillofacial Surgery PC's NPI number?
- Kankakee Valley Oral Maxillofacial Surgery PC's National Provider Identifier (NPI) is 1245822162, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kankakee Valley Oral Maxillofacial Surgery PC?
- Kankakee Valley Oral Maxillofacial Surgery PC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Kankakee Valley Oral Maxillofacial Surgery PC located?
- Kankakee Valley Oral Maxillofacial Surgery PC's practice location on file with NPPES is 31 Briarcliff Professional Ctr., Bourbonnais, IL 60914.
- What is Kankakee Valley Oral Maxillofacial Surgery PC's phone number?
- The practice phone number listed in the NPPES registry for Kankakee Valley Oral Maxillofacial Surgery PC is (815) 933-0990.
- Who is the authorized official for Kankakee Valley Oral Maxillofacial Surgery PC?
- The authorized official listed on Kankakee Valley Oral Maxillofacial Surgery PC's NPPES record is Ineke Basile, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kankakee Valley Oral Maxillofacial Surgery PC's NPI active?
- Yes — Kankakee Valley Oral Maxillofacial Surgery PC's NPI (1245822162) is active in the NPPES registry as of the last update on 2021-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.