| NPI | 1023458502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAPENDICK Owner 847-336-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-018637) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |