| NPI | 1760540223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY SCOTT DREEBIN Dentist 847-441-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.019632) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |