| 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 |