| NPI | 1255605580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET EULER Office Manager 630-355-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 021.000691) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |