| NPI | 1144536921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOKO FUKUSHIMA President 312-368-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025718) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |