NPI | 1982804654 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE REMPAS Owner 847-673-7118 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-015631) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-013115) |
1223G0001X Dentist, General Practice (Licence: IL 019-013408) | |
1223G0001X Dentist, General Practice (Licence: IL 019-022789) | |
1223G0001X Dentist, General Practice (Licence: IL 019-025127) | |
1223G0001X Dentist, General Practice (Licence: IL 019-026122) | |
1223G0001X Dentist, General Practice (Licence: IL 019-013513) | |
1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021-001997) | |
1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021-001255) | |
1223P0300X Dentist, Periodontics (Licence: IL 021-001463) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021-000726) | |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021-000601) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021-016692) | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2007-10-27 |