| NPI | 1013080357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J. KIRSCH President 815-469-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019020344) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2008-07-07 |