| NPI | 1134130008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA KOHLERT Office Manager 630-584-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19020535) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-24 |