| NPI | 1811527013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART SCHELKOPF Dentist Partner 312-704-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-12-03 |