| NPI | 1861552846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARLAN W. HAIMES Periodontist 847-564-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 19A14473 & 21S839) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |