NPI | 1316015746 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD J BUTTERLY President 847-991-0480 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-015479) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2020-08-22 |