| NPI | 1194948794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIPO AKHTAR KHAN Dentist 773-275-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024592) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |