| NPI | 1548324098 |
|---|---|
| Other Name | SCHUPPERT ORTHODONITCS |
| Entity Type | Organization |
| Authorized Contact | HENRY C SCHUPPERT Owner 773-929-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021.002304) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-08-20 |