| NPI | 1164744009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J SWEENEY VP & CFO 630-515-7307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2025-09-02 |