| NPI | 1497880025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS ISRAEL FREEMAN President 847-675-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019017492) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-10-24 |