| NPI | 1063570687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PLANER VENEGONI President 630-369-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025348) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |