| NPI | 1033310446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE S LANDFAIR Office Manager 312-263-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-020735) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |