| NPI | 1417068594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA K BOROCHIN President 847-297-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-025194) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-09-04 |