| NPI | 1003806555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONGCHIN YU President 630-540-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024585) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-22 |