| NPI | 1154619229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC YUE Orthodontist 630-323-7906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002141) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |