| NPI | 1568648947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID S ROSENBAUM President 847-480-1578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 019-08331) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |