| NPI | 1023183357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE S BEICOS President 630-573-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019019117) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2016-09-14 |