| NPI | 1780074765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P GLINOS President 847-352-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: IL 019021649) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |