| NPI | 1427225242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY M HANLEY Owner Dentist 847-729-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 01919953) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |