| NPI | 1225403249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALIA MAROUF President 847-345-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019029480) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |