| NPI | 1235200635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A. HOGAN President 847-381-1707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.014323) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |