| NPI | 1134494727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH P BARRY Owner 847-824-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017115) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019020748) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |