| NPI | 1093141053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FUNKE Office Manager 630-389-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027777) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |