| NPI | 1235276536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J. GREENWALD President 217-544-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022320) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |