| NPI | 1144247230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN E SYLVESTER Secretary Of Corporation 708-225-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: IL 019023740) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |