| NPI | 1265504757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PAPANICOLAS Owner 773-233-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-021831) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-020651) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |