NPI | 1275670283 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRY R REYNOLDS Vice President Secretary 847-392-7947 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 19-014144) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-08-22 |