| NPI | 1245742378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVED BHOJANI Owner 630-882-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: IL 019-025465) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2022-04-18 |