| NPI | 1336298595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY R RAUSCHENBERGER President 847-742-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021001769) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |