| NPI | 1275778425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WEIMAN President 312-372-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.016338) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |