1223G0001X
Lake Bluff, IL
Specialty
1223G0001X
Credential
DDS
NPI
1891850293
101 Waukegan Rd, Lake Bluff, IL 60044
(847) 604-8700Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 1223g0001x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 1223G0001X