| NPI | 1033479126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMI K SHAH Dentist 847-361-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.027379) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |