| NPI | 1417019555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F. MICHAEL SHEEHAN President 708-614-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.019214) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |