| NPI | 1003175928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILYANA ANGELOVA Owner 847-296-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027576) |
| Enumeration Date | 2012-05-12 |
| Last Update Date | 2012-05-12 |