| NPI | 1811985294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN J. MARCUS President 312-704-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060-008270) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-08-22 |