| NPI | 1063577179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNIESZKA B KUMAR President 815-356-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060-006817) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |