| NPI | 1093884165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H BAUKOL President 312-280-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-014792) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |