| NPI | 1457405987 |
|---|---|
| Other Name | ERIC ESTES |
| Entity Type | Organization |
| Authorized Contact | ERIC ESTES Owner Provider 847-869-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019021406) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-05-24 |