| NPI | 1154596021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESHO S MARCUS President 773-262-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 060-003714) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |