| NPI | 1023257433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER M JURKASH President 708-596-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019017211) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |