| NPI | 1972682151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L O'CARROLL President 847-296-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 01919899) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |