| NPI | 1932229689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SHULKIN COHN Vice President 847-301-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060-005036) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |