NPI | 1063695104 |
---|---|
Doing Business As | NORTH SUBURBAN CENTER FOR ORAL & FACIAL SURGERY |
Entity Type | Organization |
Authorized Contact | WILLIAM L. NICKEL President 847-272-9516 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019019262) |
Enumeration Date | 2007-12-12 |
Last Update Date | 2007-12-12 |