| 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 |