| NPI | 1225198575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA RACZKA Owner 847-446-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 0190245757) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2020-08-22 |