| NPI | 1952735755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLA SHTILMAN President 847-409-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019029434) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |