| NPI | 1114192036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRSH MEYER BUSCH Dentist 312-419-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-010498) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |