| NPI | 1619350675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOO H LEE President 847-310-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027246) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-07-08 |