| NPI | 1134150956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D BENZ Partner Secretary 847-676-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019138862) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019016836) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |