| NPI | 1770742389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C. HARTZER President 847-244-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: IL 019013133) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |