| NPI | 1487848214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY I HOFFMAN President 773-478-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19a13365) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |