NPI | 1164449914 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES V HUDSON President 630-990-7766 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060005415) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-08-22 |