| NPI | 1093050205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HOWARD FOLEY President 847-833-5365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IL 021.002468) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |