NPI | 1093954091 |
---|---|
Entity Type | Organization |
Authorized Contact | SABA KHAN President 847-368-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019027311) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 021002216) |
Enumeration Date | 2009-02-13 |
Last Update Date | 2009-02-13 |