| NPI | 1104046671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ZELMORE TEICHER President 312-842-7133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019011027) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |