| NPI | 1447352489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI ELLIS WOLF President 847-673-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019016875) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-07-21 |