| NPI | 1790854818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A HARRIS President 847-359-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |