| NPI | 1396957361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A CONTOS President 847-491-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026750) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2010-10-07 |