| NPI | 1679070189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN HARVEY Oral & Maxillofacial Surgeon 773-702-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: IL 021002718) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |