| NPI | 1437320553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE Y. PARK Doctor 847-299-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026319) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |