| NPI | 1871989210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SCOTT BEHM President 773-561-7729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-017960) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |