| NPI | 1053526194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M SHEN President 847-392-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-025359) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |