| NPI | 1699942722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A. WILSON President 847-966-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-014182) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |