| NPI | 1164535845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J LANDAU President 847-675-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020741) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |