| NPI | 1225267180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANA A LYUSHKOVA President 847-529-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028012) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |