| NPI | 1063539989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN KIDONAKIS President 847-486-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.021642) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2007-08-31 |