| NPI | 1124245527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE S LEE President 847-662-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021001782) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-08-01 |