| NPI | 1013151901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN VILLANUEVA Practice Manager 630-324-6749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022779) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |