| NPI | 1427352657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD I COOPER President 847-244-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019022566) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |