| NPI | 1235277146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN L GRADY Doctor 630-789-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL IL019022635) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |