NPI | 1023192952 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH EDWARD PETRAUSKAS Owner/Partner 630-369-0101 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060-006497) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |