| NPI | 1710091574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WILLIAM ORBON Vices President 847-367-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021001175) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021001175) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2025-09-11 |