| NPI | 1184969412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT WENDELL LEMEE President 847-866-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019020539) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |