| NPI | 1073785275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DREW GORRELL President 847-364-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019015965) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |