| NPI | 1730483603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J LIPPITZ Owner 847-562-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019023883) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |