| NPI | 1164537080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN KUGEL Manager 847-821-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 0600069321) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-05-25 |