| NPI | 1497914915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEVERT ORRINGTON Owner 773-651-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 0190-015033) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |