| NPI | 1770854192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R SCHULTE Owner 708-448-5543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 0190157-17) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |