NPI | 1902011190 |
---|---|
Former Legal Business Name | CARL P. MCHUGH D.D.S. AND NEAL W. BUSS D.D.S. |
Entity Type | Organization |
Authorized Contact | BERNARD J O'REILLY Owner 847-619-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019014108) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2016-02-03 |