| NPI | 1033281746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOTIRIA ROUKAS Vice 847-657-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060008606) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |