| NPI | 1063891455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ZULAWINSKI Dentist 847-253-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019025344) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-06-08 |