| NPI | 1841648904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINA MARISSA CURIO Office Manager/ Operations Manager 847-729-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-06-14 |