| NPI | 1609200609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LAWRENCE DOOLEY Managing Partner 847-602-5068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 248.000858) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |