| NPI | 1033284831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET O MUELLER Office Manager 847-249-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 06006486) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |