| NPI | 1003133372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY M CROWE President 312-782-2844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019017532) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |