| NPI | 1588825954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER NEUHAUS President 847-241-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-020088) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |