| NPI | 1962675413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE MERBAUM President 312-842-7846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019014751) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |