| NPI | 1659766673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN SCHULTZ Owner 847-698-1199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.028709) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |