| NPI | 1104006014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONIKA URBAN President 847-677-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019-023498) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |