| NPI | 1598985046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA M MIGUEL Office Manager 847-328-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-019556) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2010-05-06 |