| NPI | 1376360263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LEE President 847-662-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |