| NPI | 1255748299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PARTRIDGE Owner 847-635-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.029903) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |