| NPI | 1104985027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ANN OSTER President 708-386-4222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060005410) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |