| NPI | 1437406311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILOFER KHAN Dentist 847-814-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028416) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2018-03-27 |