| NPI | 1093991721 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | HERBERT DENNIS STITH Oral And Maxillofacial Surgeon 630-208-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 019017449) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |