| NPI | 1871632927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE M SCHEFF President 312-236-8065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019014150) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019023552) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |