| NPI | 1003232901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANETA M LACEK President 773-586-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028658) |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2014-03-16 |