| NPI | 1689733149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STEPHEN FOX Owner Endodontist 847-398-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: IL 021001877) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-04-22 |