| NPI | 1538305610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HALPERN President 847-827-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: IL 019022874(021001595)) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2008-12-19 |