| NPI | 1093853673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M STEINERT Office Manager 773-573-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-022904) |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-08-22 |