| NPI | 1477664332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD P. MARTINO President 847-234-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: IL 021000537) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-02-10 |