| NPI | 1154595106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENG LI CHIN Dentist 773-772-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 19015811) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2008-04-21 |