| NPI | 1417141987 |
|---|---|
| Other Name | ORAL & MAXILLOFACIAL SURGEON |
| Entity Type | Organization |
| Authorized Contact | GEORGE KOTSAKIS President 847-884-7080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 021001271) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |