| NPI | 1144567595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES FRANK DIFRANCO President 847-318-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021.001183) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2013-01-04 |