| NPI | 1699721266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL L. ENGEN Owner 847-742-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019018358) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2009-01-22 |