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 |