| NPI | 1831464585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S. CONEN President 847-372-3327 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-020803) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |