| NPI | 1588163364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E STUPARITZ President Owner Dds 847-840-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.020999) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 021.001771) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |