| NPI | 1255451795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DELANEY President 630-372-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021-001430) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |