| NPI | 1568537223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON SEIDMAN Owner 312-644-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 1916429) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |