| NPI | 1104059534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEERA HUSSAIN Owner 630-750-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037832) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |