| NPI | 1225824758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISHERPREET SHERGILL Director 312-451-9563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-08-29 |