| NPI | 1215123187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G. FLICK Doctor/Owner 708-425-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: IL 019.014839) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |