| NPI | 1003959172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W OVERDORF President 630-377-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.014949) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2012-12-27 |