NPI | 1104070648 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMMED RAFI KHAN President 630-953-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023653) |
Enumeration Date | 2008-11-11 |
Last Update Date | 2008-11-11 |