| NPI | 1063526085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FERLMANN President 309-685-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020248) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |