| NPI | 1164694261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATA A CZECHURA Doctor 847-359-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 19027144) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |