| NPI | 1184762148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN M KARSHEN President 708-361-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021.001937) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |