| NPI | 1235409806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO A FIGUEROA Manager 312-563-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019018936) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019027818) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |