| NPI | 1912079690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BAER KIRSHENBAUM President 773-465-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-014090) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-05-24 |