| NPI | 1134338536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH JOHN KALMANEK President 630-226-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019020874) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019021175) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |