| NPI | 1043311681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LOUIS MINUTILLO President 815-356-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019022613) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |