| NPI | 1376704254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD KENNETH SCHMULENSON President 847-724-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-018199) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |