| NPI | 1114467354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANUJA KOTHARI Orthodontist 630-420-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019029518) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019019008) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |