NPI | 1518080027 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN T POST President 312-782-7650 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019094) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2020-08-22 |