| NPI | 1467445742 |
|---|---|
| Doing Business As | ELGIN ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | BEVERLY KINDELL Office Manager 847-697-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2020-08-22 |