| NPI | 1821480930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE A DRISCOLL Office Manager 847-382-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021001674) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |