| NPI | 1578543245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH MARCHMONT-ROBINSON Owner 708-788-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019016076) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |