| NPI | 1467996405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P. EDMONDS President 847-827-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025632) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |