NPI | 1073849139 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES G LOESER CEO 847-390-8200 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 036121553) |
Enumeration Date | 2009-10-26 |
Last Update Date | 2009-10-26 |