| NPI | 1144360942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE LABAS Practice Manager 630-357-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021001406) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2021-04-02 |