NPI | 1194947960 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK J MARCHESE President 630-969-2310 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.015616) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2011-05-03 |