| NPI | 1851447163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOHN ANGERAME Partner 847-358-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019013312) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019017783) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2008-08-07 |