| NPI | 1225459357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP PALELLA Owner 773-250-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.026403) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |