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 |