| NPI | 1194156844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L SPLITT-KRULL President 630-257-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-022298) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 019022298) |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: IL 019022298) | |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2015-09-09 |