| NPI | 1578514139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD W MURRAY President 708-349-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021-001138) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |