| NPI | 1497871974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TISHLER President 847-205-9337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060007555) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-08-30 |