| NPI | 1114144060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J SHANDLEY President 847-428-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060007536) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2023-09-20 |