| NPI | 1477685071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C FORD Orthodontist 847-446-2245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021001220) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-09-24 |