| NPI | 1407190150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JOSEPH BISCHOFF Dentist 815-633-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 01902201) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |