| NPI | 1992910392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ROGERS Office Manager 847-729-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 06007168) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |