| NPI | 1184999450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHSAN AHMED Dentist 630-458-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: 019024689) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019025114) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |