| NPI | 1982976643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FREDERIC SCHNEIDER President 773-794-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021001422) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |