| NPI | 1376995688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAWALE BABATUNDE Practice Manager 847-827-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025347) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |