| NPI | 1336237460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A SCHUBERTH President 630-887-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019016814) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |