| NPI | 1902339369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT ABT Sole Member 847-677-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-019845) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |