| NPI | 1497819759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MCNERNEY Dentist 847-550-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-021306) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-022090) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |