| NPI | 1174735021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JAMES CABAY President 309-796-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 060001636) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2012-08-23 |