| NPI | 1184834665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTINE L POLITIS President 708-386-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021-001248) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |