| NPI | 1134400831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALINA TERESA LECH President 773-631-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-023650) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-10-06 |