| NPI | 1326245705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL K MARINIC Owner 847-475-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020840) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |