| NPI | 1639296189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KRABBENHOFT Office Administrator 847-854-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022088) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-02-18 |