| NPI | 1124234851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO JOSEPH PANZI Orthodontist 630-961-9692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019015147) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |