| NPI | 1073780599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALKER VAN GILDER Owner/Oral Surgeon 847-385-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021001585) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2013-10-08 |