| NPI | 1194942110 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | GREGORY ALAN LEHMAN President 815-459-7400  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 060-006476)  | 
| Enumeration Date | 2007-04-19 | 
| Last Update Date | 2020-08-22 |