| NPI | 1124148374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FRANK GILBERT President Of Corporation 847-593-8465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017055) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |