| NPI | 1740203694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA LAM DANG CHO Vice President/ Dentist 847-955-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-024816) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-08-22 |