| NPI | 1770639502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M WILLIAMS President 847-891-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019019981) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |