| NPI | 1831304203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE MARRY DUGGAN Dentist 847-827-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017608) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |