| NPI | 1942458443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD ABBY LA PIDUS Owner President 847-432-2737 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019012053) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |