| NPI | 1457866790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORELEI KARZEN LOCH Office Manager 630-945-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 210015201) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |